Impacted Tooth Removal - CDT Code Guide
Overview
CDT Code D7241 pertains to the removal of a completely bony impacted tooth, which presents unusual surgical complications. This procedure is typically required when most or all of the tooth's crown is covered by bone, making extraction more complex. Such complexities may include the need for nerve dissection, separate closure of the maxillary sinus, or dealing with an aberrant tooth position. Dental professionals often encounter this scenario in cases where the impacted tooth poses a risk to oral health or causes significant discomfort to the patient. The procedure involves careful surgical planning and execution to ensure patient safety and successful outcomes.
When to Use This Code
- When a tooth is completely covered by bone and poses a risk to oral health.
- In cases where nerve dissection is required to safely remove the tooth.
- When an impacted tooth is in an aberrant position causing complications.
- If a separate closure of the maxillary sinus is necessary during extraction.
- When routine extraction methods are insufficient due to surgical complications.
Documentation Requirements
- Detailed clinical notes describing the tooth's position and coverage by bone.
- Radiographic evidence supporting the need for complex surgical intervention.
- Documentation of any nerve dissection or sinus closure performed.
- Patient consent forms acknowledging understanding of the procedure's complexity.
- Postoperative care instructions provided to the patient.
- Surgical notes detailing the steps taken and any complications encountered.
Billing Considerations
When billing for D7241, ensure that the complexity of the procedure is well-documented, as this code is used for cases with unusual surgical complications. Be aware of insurance policies that may require pre-authorization due to the procedure's complexity. Common modifiers include those indicating the specific quadrant of the mouth. Frequency limitations may apply based on the patient's insurance plan.
Related CDT Codes
Frequently Asked Questions
A tooth removal qualifies for D7241 when it is completely bony impacted and involves unusual surgical complications such as nerve dissection or sinus closure.
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