Can D7220 be used for all types of impacted teeth?

No, D7220 is specifically for teeth covered by soft tissue. Other codes like D7230 or D7240 should be used for bony impactions.

Is local anesthesia included in the D7220 code?

Yes, local anesthesia, suturing if needed, and routine postoperative care are included in the D7220 code.

How should complications during surgery be documented?

Document any complications in detail, including the nature of the complication, steps taken to address it, and any additional procedures performed.

Are there any age restrictions for using D7220?

There are no specific age restrictions, but the patient's overall health and dental development should be considered when planning the procedure.

D7220

Impacted Tooth Removal - CDT Code Guide

Oral & Maxillofacial Surgery/Extractions (Includes Local Anesthesia, Suturing If Needed, and Routine Postoperative Care)

Overview

CDT Code D7220 refers to the removal of an impacted tooth where the occlusal surface is covered by soft tissue. This procedure is categorized under Oral & Maxillofacial Surgery and involves the elevation of a mucoperiosteal flap. It is typically performed when a tooth fails to erupt properly due to being partially or fully covered by gum tissue, which can lead to pain, infection, or misalignment of other teeth. Dental professionals often encounter this scenario with wisdom teeth, where the soft tissue impedes normal eruption. The procedure requires careful surgical intervention to ensure the tooth is removed without damaging surrounding structures.

When to Use This Code

When a wisdom tooth is partially erupted and covered by soft tissue.
In cases where a tooth is causing pain due to soft tissue impaction.
When there is a risk of infection due to food trapping under the soft tissue.
To prevent misalignment of adjacent teeth caused by an impacted tooth.
When a patient experiences recurrent pericoronitis.

Documentation Requirements

Detailed patient history and clinical examination notes.
Radiographic evidence showing the impacted tooth and surrounding soft tissue.
Procedure notes including the elevation of the mucoperiosteal flap.
Anesthesia records and any sedation used during the procedure.
Postoperative care instructions provided to the patient.
Consent forms signed by the patient or guardian.

Billing Considerations

When billing for D7220, ensure that the procedure is not being reported in conjunction with other surgical extractions unless justified. Check for any frequency limitations set by the patient's insurance plan. Common modifiers include -22 for increased procedural services if the surgery is more complex than usual. Verify coverage with the patient's insurance, as some plans may have specific exclusions or require prior authorization.

Related CDT Codes

D7230 D7240 D7210 D7250 D7280

Frequently Asked Questions

D7220 is used for soft tissue impaction, while D7230 is for partial bony impaction, where the tooth is partially covered by bone.

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