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The soft-tissue allograft procedure is performed to create or augment the gingiva, with or without root coverage. This may be used to eliminate the pull of the frena and muscle attachments, to extend the vestibular fornix, and correct localized gingival recession. There is no donor site.
The additional material (graft) is coming from someone, or somewhere, other than the patient (when there is no donor site available). The procedure is billed per site and is to be specified on the claim. Submit this procedure with a preoperative diagnostic photo, as the radiograph is useless in confirming the need since we are talking about a soft-tissue issue. The payer may well request a radiograph in order to rule out additional benefits being paid for continued treatment of an osseous defect. This procedure should never be used to address any type of hard-tissue condition. The photo is the key. The material used should always be specified in both the clinical notes as well as claim (one in the same), but it is not billed separately. This is an all-inclusive procedure.
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Anonymous
