Can D7956 be used in conjunction with bone grafting procedures?

Yes, D7956 can be used alongside bone grafting procedures, but it must be billed separately unless the insurance policy states otherwise.

What materials are considered resorbable barriers?

Resorbable barriers used in D7956 include materials like collagen membranes that are designed to be absorbed by the body over time.

How long does the guided tissue regeneration process take?

The regeneration process can vary but typically takes several months for the bone to fully integrate and regenerate, depending on the patient's healing capacity.

What are the potential complications of guided tissue regeneration?

Potential complications include infection, barrier exposure, or insufficient bone regeneration. Proper technique and post-operative care are crucial to minimizing these risks.

D7956

Guided Tissue Regeneration - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT Code D7956 refers to the guided tissue regeneration procedure in edentulous areas using a resorbable barrier, performed per site. This oral and maxillofacial surgery procedure is crucial for promoting bone growth and tissue regeneration, particularly in scenarios such as ridge augmentation, sinus lift procedures, and post-tooth extraction recovery. It is important to note that this code does not cover flap entry and closure, wound debridement, osseous contouring, or the use of bone replacement grafts and biologic materials. Dental professionals utilize this procedure to enhance the structural integrity of the jawbone, facilitating better outcomes for future dental implants or prosthetics.

When to Use This Code

Following tooth extraction to promote bone regeneration
During ridge augmentation procedures to enhance bone volume
In sinus lift procedures to support sinus membrane elevation
When preparing an edentulous area for dental implants
To improve jawbone structure in preparation for prosthetic devices

Documentation Requirements

Detailed clinical notes describing the edentulous area and need for regeneration
Pre-operative and post-operative radiographs
Documentation of the resorbable barrier material used
Patient consent forms specific to the procedure
A comprehensive treatment plan outlining the expected outcomes
Any additional procedures performed concurrently, such as bone grafting

Billing Considerations

When billing for D7956, ensure that the procedure is not bundled with other surgical codes unless specified by the insurance provider. Frequency limitations may apply, and it is crucial to check with the patient's insurance for coverage specifics. Common modifiers include those indicating separate procedures or bilateral procedures. Documentation must clearly justify the medical necessity of the procedure to avoid claim denials.

Related CDT Codes

D4266 D4267 D7953 D7955 D4263

Frequently Asked Questions

Coverage for D7956 varies by insurance plan. It is essential to verify with the patient's insurance provider to determine if the procedure is covered and under what conditions.

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