Overview of CPT Code 21155: Injection of bone graft material, maxilla or mandible
CPT Code 21155 refers to the injection of bone graft material into the maxilla or mandible, which is a procedure used to enhance bone structure in the jaw for various dental and surgical purposes.
When CPT Code 21155 is Used?
This procedure is indicated in several clinical scenarios.
- To augment bone volume in preparation for dental implants.
- To repair bone defects due to trauma or disease.
- To support the structure of the jaw in cases of bone resorption.
Symptoms Indicating This Procedure
Patients may present with various symptoms that necessitate this procedure.
- Difficulty in chewing or biting due to insufficient bone support.
- Visible bone loss in the jaw area.
- Pain or discomfort in the jaw that may indicate underlying bone issues.
Causes and Risk Factors
Several factors can contribute to the need for this procedure.
- Periodontal disease leading to bone loss.
- Trauma or injury to the jaw.
- Congenital defects affecting jaw structure.
- Long-term denture use causing bone resorption.
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.
Procedure Description
The procedure involves several key steps.
- Administer local anesthesia to the patient.
- Prepare the site for injection by cleaning and sterilizing.
- Inject the bone graft material into the targeted area of the maxilla or mandible.
- Ensure proper placement and coverage of the graft material.
- Suture the site if necessary and provide post-procedure instructions.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid eating or drinking for several hours prior to the procedure.
- Inform the healthcare provider of any medications or supplements being taken.
- Arrange for transportation home after the procedure due to anesthesia.
Recovery and Aftercare
Post-procedure care is crucial for recovery.
- Expect some swelling and discomfort for a few days.
- Follow prescribed pain management protocols.
- Maintain oral hygiene but avoid the injection site for a few days.
Possible Complications
As with any medical procedure, there are potential risks.
- Infection at the injection site.
- Allergic reaction to the graft material.
- Failure of the graft to integrate with the bone.
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Post-Procedure Follow-Up
Regular follow-up is important to monitor recovery.
- Schedule a follow-up appointment within one week post-procedure.
- Monitor for signs of infection or complications.
- Assess the integration of the graft material during subsequent visits.
Alternative Treatments
There are non-surgical options available.
- Bone regeneration therapy using growth factors.
- Use of dental implants without grafting in certain cases.
- Bone augmentation using synthetic materials.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Apply ice packs to reduce swelling.
- Take prescribed medications as directed.
- Eat soft foods to avoid irritation to the injection site.
Patient Education & Prevention
Educating patients can help prevent future issues.
- Maintain good oral hygiene to prevent periodontal disease.
- Regular dental check-ups to monitor bone health.
- Avoid tobacco use, which can impair healing.
Billing and Coding Information
CPT Code: 21155
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 the purpose of the bone graft injection?
It is used to enhance bone structure for dental implants or repair defects.
How long does the procedure take?
The procedure typically takes about 30 to 60 minutes.
Is the procedure painful?
Local anesthesia is used, so discomfort is minimal during the procedure.
What is the recovery time?
Most patients recover within a few days, but full healing may take weeks.
