D7953 Dental Code: Bone Replacement Graft for Ridge Preservation

Oral health is essential to overall well-being, and investing in procedures like ridge preservation can lead to a lifetime of confident smiles. When it comes to preserving the integrity of a patient's dental ridge after tooth extraction, dental professionals often turn to the D7953 dental code. This code represents the procedure for Bone Replacement Graft for Ridge Preservation, a critical aspect of dental care. As many other codes are used for bone grafting depending on different situations, dentists often confuse these codes, leading to mistakes and penalties for inaccurate coding. Therefore, it is a perfect solution to let professional coders handle your D7953 coding so that you can achieve efficiency and expertise and navigate the complexities in coding. Don't stress out because MedsDental Billing Company has certified coders to help you excel in every possible way.
This article delves into the purpose and significance of D7953, shedding light on its application in dental practice, and exploring related codes that complement its utility.

D7953 Bone replacement graft for ridge preservation – per site

Bone grafting becomes necessary when a patient lacks an adequate amount of naturally healthy bone in their oral cavity to support dental implants effectively. This surgical procedure aims to restore lost bone by transplanting bone tissue or materials that promote bone growth. For this procedure, dental coding has a unique code, D7953, to bill the services accurately.

D7953 dental code description

D7953 is the CDT dental code assigned to "Bone Replacement Graft for Ridge Preservation" a dental treatment performed to safeguard bone levels following a tooth extraction. It is important to remember that this code does not involve material acquisition and is used by dentists and insurance companies.
Purpose: The primary purpose of D7953 is to ensure the preservation of the alveolar ridge, the bony ridge that houses the teeth. By utilizing this code, dental practitioners can communicate to insurance providers and patients that they have performed a Bone Replacement Graft with precision and expertise and getting reimbursed.

Clinical information

The alveolar ridge is the bony ridge that holds teeth in place within the jaw. After tooth extraction, this ridge can undergo significant resorption, leading to complications when considering future dental implant placement or prosthodontic work. This procedure involves placing either an autograft (bone from the patient's own body), an allograft (bone from a donor), or a non-osseous graft into the socket left after tooth extraction or dental implant removal.
The purpose of this procedure is to maintain the integrity of the ridge, especially when it is essential for future implant reconstruction or when preserving the alveolar contour is crucial for planned prosthetic reconstruction. By using bone replacement grafts in this procedure, dentists ensure that the patient's jaw retains its shape and density, making it an ideal foundation for future dental implants.

CDT D7953 Category : Oral & Maxillofacial Surgery

CDT ridge preservation dental code D7953 falls under the category of Oral & Maxillofacial Surgery and encompasses various dental procedures, including:
Extractions: This consists of administering local anesthesia, suturing if necessary, and standard postoperative care.
Surgical Extractions: This category also involves the use of local anesthesia, suturing as required, and standard postoperative care, but specifically for more complex extractions.
Other Surgical Procedures: This refers to various surgical interventions in oral and maxillofacial surgery.
Removal of Tumors, Cysts, and Neoplasms: This encompasses surgical excision procedures aimed at eliminating these growths, which may be located within the bone.

Coding Guidelines for D7953

1. Accurate Documentation
Dental professionals must accurately document the need for ridge preservation. This includes detailed records of the tooth extraction procedure, the condition of the extraction site, and the necessity of ridge preservation to maintain bone volume.
2. Checking coverage
Dental offices should verify coverage and inform patients of any potential out-of-pocket expenses.
3. Correct Use of D7953 Code
D7953 should only be used when performing ridge preservation with a bone replacement graft. This code should not be used for procedures like routine extractions or socket preservation without grafting.
4. Description of Materials Used
The documentation should also include the type and source of the bone replacement graft material. Common materials include autografts, allografts, or synthetic graft materials. Providing this information is crucial for accurate coding and insurance processing.
5. Modifier Usage
Dental professionals may sometimes need modifiers to clarify the procedure further. For example, modifier -59 may be used to indicate that ridge preservation is a separate and distinct procedure from tooth extraction.
6. Consultation and Informed Consent
Before performing ridge preservation, dental professionals should consult with the patient and obtain informed consent. This process involves explaining the procedure's purpose, potential risks, and expected outcomes.

D7953 and Insurance Coverage

Patients often wonder whether their dental insurance covers procedures like ridge preservation. D7953 is a specific code recognized by insurance companies, but coverage may vary depending on your dental insurance plan. Some plans may fully or partially cover ridge preservation procedures, while others may consider them elective and not provide coverage. Patients must consult their insurance provider and dentist to determine coverage and potential out-of-pocket costs. It is a perfect approach to send a preauthorization request along with radiographs and periodontal charting for claim submission.

Exploring codes related to D7953

In addition to D7953, several other dental codes are related to ridge preservation and procedures. Here are some of them:
D7210 - Extraction, erupted tooth or exposed root
This code is used for the removal of a single tooth requiring the removal of bone and is performed after periodic oral evaluation of the patient.
D7950 - Alveolar Ridge Augmentation
When a bone graft is performed on a separate day from the extraction to increase the alveolar ridge's height, width, or volume, you should use the D7950 dental code. It is important to note that D7950, ridge augmentation dental code, includes harvesting autogenous bone or using freeze-dried bone material.
D4265 - Biologic Material Use
According to the American Academy of Periodontology, if you are using an Infuse bone graft, submitting D4265 (biologic material to aid in soft and osseous regeneration) along with D7950 is suitable. Include the narrative states, "Bone morphogenic protein is contained within the infused bone graft."
D7951/D7952 - Sinus Lift for Implant Placement
If bone grafting is performed during a sinus lift procedure to increase alveolar height for implant placement, you should use either D7951 or D7952, depending on the specifics of the procedure.
D4266 dental code - Guided Tissue Regeneration – Resorbable Barrier
It encompasses membrane removal and does not include flap entry or closure.
D4263 - Bone Replacement (First site in the quadrant)
This procedure entails the utilization of osseous autografts, osseous allografts, or non-osseous grafts to induce bone formation or promote periodontal regeneration in cases where the disease process has resulted in a deformity of the bone. It is typically performed at the initial site within a specific quadrant of the mouth.

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