D4275 Non-auto graft first tooth
Also known as: allograft first tooth, allogeneic graft, acellular dermal matrix graft
Non-autogenous soft tissue graft from allograft, xenograft, or acellular dermal matrix placed at the first tooth site for coverage.
In Plain Language
donor tissue graft for one tooth; processed tissue transfer
Clinical Context
Indicated when autogenous graft material is limited, extended defects exist, or patient preference favors avoiding donor site surgery; provides root coverage and tissue augmentation.
RVU Information
CPT D4275 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
Dental codes (CDT codes) require documentation of the tooth number(s) or area treated, clinical findings, and the procedure performed. Pre-authorization may be required for major restorative, prosthodontic, and oral surgery procedures. Include radiographs when supporting medical necessity.
Specialties
Frequently Asked Questions
What is CPT code D4275?
CPT D4275 (Non-auto graft first tooth) is a D Codes (Dental) code. Non-autogenous soft tissue graft from allograft, xenograft, or acellular dermal matrix placed at the first tooth site for coverage.
Is D4275 covered by dental insurance?
CPT D4275 is a dental procedure code used by Periodontology, Esthetic Periodontics. Indicated when autogenous graft material is limited, extended defects exist, or patient preference favors avoiding donor site surgery; provides root coverage and tissue augmentation. Coverage depends on your dental insurance plan.
When is CPT D4275 used?
Indicated when autogenous graft material is limited, extended defects exist, or patient preference favors avoiding donor site surgery; provides root coverage and tissue augmentation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.