Is the placement of a barrier membrane included in D7950?

No, the placement of a barrier membrane should be reported separately as it is not included in D7950.

Can D7950 be used for both the mandible and maxilla?

Yes, D7950 applies to grafts performed on either the mandible or maxilla.

Are there any specific patient conditions that necessitate this procedure?

Yes, conditions like jawbone atrophy, congenital defects, or trauma may require this grafting procedure.

What are the common complications associated with this procedure?

Common complications may include infection, graft rejection, or insufficient bone integration.

D7950

Osseous Graft of Mandible/Maxilla - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT Code D7950 refers to the osseous, osteoperiosteal, or cartilage graft of the mandible or maxilla, which can be either autogenous or nonautogenous. This procedure is primarily used for ridge augmentation or reconstruction, aiming to increase the height, width, and/or volume of the residual alveolar ridge. The process involves obtaining graft material, which is crucial for ensuring the structural integrity and functionality of the jaw. In clinical practice, this code is essential for cases where the jawbone needs enhancement to support dental implants or to restore facial aesthetics. The placement of a barrier membrane, if utilized, should be reported separately, highlighting the importance of accurate documentation.

When to Use This Code

When performing ridge augmentation to prepare for dental implants
In cases of jawbone atrophy requiring reconstruction
For patients needing increased alveolar ridge volume for prosthetic support
During surgical interventions to correct congenital jaw defects
In trauma cases where the jawbone structure needs restoration

Documentation Requirements

Detailed surgical report outlining the procedure
Documentation of the type and source of graft material used
Pre- and post-operative radiographic images
Patient consent forms for grafting procedure
Separate documentation for barrier membrane placement if applicable

Billing Considerations

When billing for D7950, it's important to note any frequency limitations imposed by the patient's insurance. Common modifiers may include those indicating the specific site of the graft. Insurance providers often require pre-authorization, especially for nonautogenous grafts. Ensure that the grafting procedure is clearly differentiated from other simultaneous oral surgeries to avoid billing conflicts.

Related CDT Codes

D4263 D4266 D7953 D4267 D6104

Frequently Asked Questions

Autogenous grafts use the patient's own tissue, while nonautogenous grafts use donor or synthetic materials.

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