D7472

Removal of Torus Palatinus - CDT Code Guide

Oral & Maxillofacial Surgery/Excision of Bone Tissue

Overview

CDT code D7472 refers to the removal of torus palatinus, a bony growth on the palate. This procedure is typically performed by oral surgeons when the torus palatinus causes discomfort, interferes with oral function, or complicates the fitting of dentures. The removal involves excising the bony growth to alleviate symptoms and improve oral health. This procedure is categorized under Oral & Maxillofacial Surgery, specifically within the excision of bone tissue, highlighting its surgical nature. Patients may require this procedure if they experience pain, difficulty with oral appliances, or other complications related to the presence of the torus palatinus.

When to Use This Code

  • When the torus palatinus causes discomfort or pain to the patient.
  • If the bony growth interferes with the fitting or function of dentures.
  • In cases where the torus palatinus leads to speech difficulties.
  • When the presence of the torus affects oral hygiene maintenance.
  • If the torus palatinus is prone to trauma or ulceration.

Documentation Requirements

  • Detailed clinical notes describing the size and location of the torus palatinus.
  • Pre-operative and post-operative photographs, if applicable.
  • Patient consent forms for the surgical procedure.
  • Anesthesia records, if anesthesia is used during the procedure.
  • Operative report detailing the surgical technique and any complications.
  • Post-operative care instructions provided to the patient.

Billing Considerations

When billing for D7472, ensure that the procedure is medically necessary and documented thoroughly. Check for any frequency limitations imposed by the patient's insurance plan. Common modifiers may include those indicating the use of anesthesia or additional surgical procedures performed concurrently. Verify coverage with the patient's insurance provider, as some plans may require prior authorization for surgical interventions.

Related CDT Codes

Frequently Asked Questions

Torus palatinus is a benign bony growth located on the roof of the mouth, known as the palate.

Source: CDT 2023 © American Dental Association

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