Can D4283 be billed separately?

No, D4283 is an add-on code and must be billed in conjunction with D4273 for the initial graft procedure.

Is there a limit to how many times D4283 can be used?

Usage may be limited by insurance policies, which often restrict the number of grafts per site or per year. Always check with the patient's insurance provider.

What documentation is necessary for insurance claims involving D4283?

Ensure comprehensive clinical notes, photographic evidence, and a clear treatment plan are included to support the necessity of the procedure.

Are there any specific patient conditions that warrant the use of D4283?

D4283 is typically warranted in cases of severe gum recession or when multiple contiguous teeth require grafting in a single surgical site.

D4283

Connective Tissue Graft - CDT Code Guide

Periodontics/Surgical Services (Including Usual Postoperative Care)

Overview

CDT code D4283 refers to the autogenous connective tissue graft procedure, specifically for each additional contiguous tooth, implant, or edentulous tooth position in the same graft site. This procedure is typically performed in conjunction with D4273 and involves harvesting connective tissue from a donor site within the patient's mouth and grafting it to a recipient site. This technique is often used to treat gum recession, improve esthetics, or enhance the thickness of the gingival tissue around teeth or implants. Dental professionals may encounter this procedure in cases where multiple teeth require grafting within the same surgical site, allowing for comprehensive periodontal care.

When to Use This Code

When performing a connective tissue graft for multiple contiguous teeth or implants in the same site.
In cases of severe gum recession affecting multiple teeth in a localized area.
When enhancing gingival thickness around multiple implants in a single surgical session.
For patients requiring esthetic improvements in a specific area with multiple teeth involved.
During periodontal surgery where additional grafting is necessary for adjacent teeth.

Documentation Requirements

Detailed clinical notes describing the donor and recipient sites.
Photographic evidence of the pre- and post-operative condition.
Patient consent forms specific to periodontal surgery.
Documentation of the number of teeth or implants involved.
A clear treatment plan outlining the necessity for additional grafting.

Billing Considerations

When billing for D4283, ensure it is used in conjunction with D4273. Be aware of frequency limitations as some insurance plans may restrict the number of grafts covered per year. Common modifiers include those indicating the quadrant or arch involved. Verify with the patient's insurance for coverage specifics, as periodontal procedures can vary widely in coverage.

Related CDT Codes

D4273 D4265 D4210 D4240 D4260

Frequently Asked Questions

D4273 is used for the initial connective tissue graft procedure, while D4283 is for each additional contiguous tooth or implant in the same graft site.

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