Mandible Open Reduction - CDT Code Guide
Overview
CDT code D7630 pertains to the open reduction of a mandible fracture, a procedure often required when a patient has sustained a significant jaw injury. This surgical intervention involves making an incision to access the fracture site, allowing the oral surgeon to realign the bone fragments. To ensure proper healing, the teeth may be immobilized using wires, bands, or splints. This procedure is crucial in restoring the function and aesthetics of the jaw, and is typically performed in cases of severe trauma or when closed reduction methods are inadequate.
When to Use This Code
- Severe mandible fractures requiring surgical intervention
- Cases where closed reduction has failed
- Fractures with significant displacement
- Complex fractures involving multiple fracture lines
- Fractures in patients with compromised healing requiring stable fixation
Documentation Requirements
- Detailed clinical notes describing the fracture and treatment plan
- Pre-operative and post-operative radiographs
- Operative report detailing the incision and reduction technique
- Documentation of immobilization method used
- Patient consent form for surgical procedure
Billing Considerations
Ensure accurate documentation of the fracture and surgical procedure. Be aware of any frequency limitations imposed by insurance providers. Common modifiers include those for bilateral procedures or additional complexity. Verify coverage with the patient's insurance to avoid unexpected costs.
Related CDT Codes
Frequently Asked Questions
Open reduction involves surgical exposure of the fracture site, while closed reduction is performed without an incision.
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