Overview of CPT Code 21137: Injection of bone graft, maxilla or mandible
CPT Code 21137 refers to the injection of a bone graft into the maxilla or mandible, which is essential for reconstructive dental procedures and enhancing bone structure.
When CPT Code 21137 is Used?
This procedure is indicated in various clinical scenarios.
- To treat bone loss due to periodontal disease.
- To prepare the jaw for dental implants.
- To repair defects following trauma or surgery.
- To enhance bone volume for aesthetic or functional purposes.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the need for this procedure.
- Difficulty chewing or biting.
- Visible bone loss in the jaw.
- Pain or discomfort in the jaw area.
- Loose teeth or shifting dental alignment.
Causes and Risk Factors
Several factors can contribute to the need for a bone graft injection.
- Periodontal disease leading to bone loss.
- Trauma or injury to the jaw.
- Previous dental surgeries that compromised bone integrity.
- Genetic predisposition to bone density issues.
Diagnostic Tests Before Procedure
Certain tests are essential to evaluate the condition of the jaw before the procedure.
- Panoramic X-rays to assess bone structure.
- CT scans for detailed imaging of the jaw.
- Dental examinations to evaluate oral health.
- Blood tests to check for underlying health issues.
Procedure Description
The procedure involves several key steps to ensure successful grafting.
- Administer local anesthesia to numb the area.
- Make an incision in the gum tissue to access the bone.
- Prepare the site for grafting by cleaning and shaping the bone.
- Inject the bone graft material into the prepared site.
- Suture the gum tissue to close the incision.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for the procedure.
- Avoid eating or drinking for several hours before the procedure.
- Inform the dentist about any medications or allergies.
- Arrange for transportation post-procedure if sedation is used.
- Follow any pre-operative instructions provided by the healthcare provider.
Recovery and Aftercare
Post-procedure care is crucial for optimal recovery.
- Expect swelling and discomfort for a few days.
- Use prescribed pain medications as directed.
- Avoid strenuous activities for at least a week.
- Follow up with the dentist for suture removal and evaluation.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the graft site.
- Excessive bleeding.
- Graft failure or rejection.
- Nerve damage leading to numbness or tingling.
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Post-Procedure Follow-Up
Regular follow-up is essential to monitor healing.
- Schedule a follow-up appointment within a week.
- Monitor for signs of infection or complications.
- Evaluate the success of the graft after several months.
- Discuss further treatment options if necessary.
Alternative Treatments
There are non-surgical options available for managing bone loss.
- Bone regeneration therapy using growth factors.
- Dental implants without grafting in certain cases.
- Medications to enhance bone density.
- Regular dental cleanings and periodontal treatments.
Home Care Tips
Patients can take steps at home to aid recovery.
- Maintain good oral hygiene without disturbing the graft site.
- Use ice packs to reduce swelling.
- Eat soft foods to avoid irritation.
- Stay hydrated and rest adequately.
Patient Education & Prevention
Understanding preventive measures can help avoid future issues.
- Practice good oral hygiene to prevent periodontal disease.
- Regular dental check-ups to monitor oral health.
- Avoid tobacco use which can impair healing.
- Maintain a balanced diet to support bone health.
Billing and Coding Information
CPT Code: 21137
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $1,500 to $3,000.
- Insurance may cover part of the procedure depending on medical necessity.
- Check with your insurance provider for specific coverage details.
Related CPT Codes
- 21110 - Injection of bone graft material
- 21210 - Excision of benign skin lesion
- 21215 - Injection of bone cement into vertebral body
- 21230 - Excision of benign skin lesion, face, ears, scalp, neck
- 21235 - Injection of implantable drug delivery system
References and Sources
Frequently Asked Questions (FAQs)
What is a bone graft injection?
It is a procedure to inject bone material into the jaw to support dental structures.
How long does recovery take?
Recovery typically takes a few weeks, but full healing may take several months.
Is the procedure painful?
Local anesthesia is used, so discomfort is minimal during the procedure.
Can I eat after the procedure?
Soft foods are recommended for the first few days post-procedure.
