D7293

Temporary Anchorage Device Placement - CDT Code Guide

Oral & Maxillofacial Surgery/Other Surgical Procedures

Overview

CDT Code D7293 refers to the placement of a temporary anchorage device (TAD) that requires a flap. This procedure is typically performed by oral surgeons or orthodontists to provide additional support for orthodontic treatments. TADs are small titanium screws that are temporarily fixed to the bone to serve as anchors for moving teeth. The procedure involves creating a small incision or flap in the gum tissue to access the bone, where the device is then placed. This code is used when a flap is necessary for proper placement, which is often the case in complex orthodontic cases or when additional stability is required for tooth movement. TADs are a valuable tool in orthodontics, offering a minimally invasive option to enhance treatment outcomes.

When to Use This Code

  • When a temporary anchorage device is needed for complex orthodontic cases
  • In scenarios where traditional orthodontic anchorage is insufficient
  • When additional stability is required for specific tooth movements
  • For patients requiring enhanced orthodontic treatment outcomes
  • In cases where a flap is necessary for proper placement of the device

Documentation Requirements

  • Detailed patient records including diagnosis and treatment plan
  • Clinical notes justifying the need for a temporary anchorage device
  • Description of the procedure including flap creation
  • Pre- and post-operative radiographs or images
  • Informed consent documentation from the patient
  • Record of any complications or follow-up care

Billing Considerations

When billing for D7293, ensure that the procedure is clearly documented and justified in the patient's records. Frequency limitations may apply, and it's important to check with the patient's insurance for coverage details. Common modifiers such as -22 for unusual services may be applicable if the procedure is more complex than usual. Coordination with orthodontic treatment plans is essential to avoid billing conflicts.

Related CDT Codes

Frequently Asked Questions

A temporary anchorage device (TAD) is a small titanium screw used in orthodontics to provide additional support for moving teeth.

Source: CDT 2023 © American Dental Association

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