Connective Tissue & Pedicle Graft - CDT Code Guide
Overview
CDT code D4276 refers to the combined connective tissue and pedicle graft procedure, a specialized periodontal surgery aimed at addressing advanced gingival recession. This condition often requires more than a single surgical intervention to achieve optimal results. The procedure involves using a combination of connective tissue grafts and pedicle grafts to cover exposed tooth roots, improve gum health, and enhance the aesthetic appearance of the gums. This code is typically used in cases where significant gum recession has occurred, and a single grafting technique is insufficient to restore the gum line effectively. Dental professionals utilize this procedure to prevent further recession and potential tooth loss, while also improving the patient's oral health and smile aesthetics.
When to Use This Code
- Severe gingival recession where single grafting is inadequate
- Patients with multiple adjacent teeth affected by recession
- Cases requiring both root coverage and increased tissue thickness
- Situations where aesthetic improvement is a priority
- Patients with a history of failed single graft procedures
Documentation Requirements
- Detailed clinical notes describing the extent of gingival recession
- Pre-operative photographs documenting the affected area
- Description of the surgical technique and materials used
- Post-operative care instructions provided to the patient
- Follow-up visit notes to assess healing and graft success
Billing Considerations
When billing for D4276, consider that insurance coverage may vary, and pre-authorization might be required. Frequency limitations often apply, and it's crucial to document the necessity of combined grafting techniques. Common modifiers include those indicating multiple procedures or sites. Verify with the patient's insurance for specific coverage details and potential out-of-pocket costs.
Related CDT Codes
Frequently Asked Questions
A connective tissue graft involves taking tissue from the roof of the mouth, while a pedicle graft uses adjacent gum tissue to cover exposed roots.
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