Hi Guest!

D4277 - free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant or edentulous tooth position in graft


The code listed above does not have a direct crosscode - so you can either bill the "D" code (dental code) on the medical claim (many insurers these days will process "D" codes when they are medically necessary services), or you can use the CPT code below and include a narrative report describing the procedure:
41899 - Unlisted procedure, dentoalveolar structures

You can use the JP qualifier to indicate tooth numbers on a medical claim, and if you use 41899, you can use the ZZ qualifier to provide a short description of the procedure the code is being used to represent.

The JP qualifier to indicates the tooth numbers. So for your case teeth 20 & 29, it would read:
JP20 29

The ZZ qualifier indicates you will be providing a short description, like this:
ZZ free soft tissue graft procedure

An example of how to use the ZZ and JP qualifiers on the medical claim can be found int he NUCC's claim form manual on page 47 & 48, here is a link to it:
https://nucc.org/images/stories/PDF/1500_claim_form_instruction_manual_2021_07-v9.pdf


Hope this helps!