Malar/Zygomatic Arch Reduction - CDT Code Guide
Overview
CDT Code D7650 pertains to the open reduction of fractures in the malar and/or zygomatic arch, a procedure typically performed by oral and maxillofacial surgeons. This surgical intervention is necessary when a patient has sustained a closed fracture in the cheekbone area, often due to trauma such as a fall, sports injury, or vehicular accident. The procedure involves repositioning the bone fragments into their normal anatomical alignment and stabilizing them, often with the use of plates and screws. This code is essential for accurately documenting and billing for the surgical treatment of these specific facial fractures, ensuring that patients receive the appropriate care for optimal recovery.
When to Use This Code
- A patient presents with a closed fracture of the zygomatic arch due to a sports injury.
- A motor vehicle accident results in a malar fracture requiring surgical intervention.
- A fall leads to a closed fracture of the cheekbone that needs open reduction.
- Facial trauma from an assault causes a zygomatic arch fracture needing surgical repair.
- A patient with a malar fracture from a workplace accident requires open reduction.
Documentation Requirements
- Detailed clinical notes describing the nature and extent of the fracture.
- Pre-operative imaging studies, such as X-rays or CT scans, showing the fracture.
- Operative report detailing the surgical procedure performed.
- Post-operative imaging to confirm successful reduction and stabilization.
- Patient consent forms and any relevant medical history.
- Follow-up care plan outlining recovery and rehabilitation.
Billing Considerations
When billing for D7650, ensure that the procedure is not billed more frequently than necessary, as it is typically a one-time intervention per fracture incident. Use appropriate modifiers to indicate bilateral procedures if both sides are treated. Verify with the patient's insurance for coverage specifics, as some plans may require prior authorization or have specific guidelines for trauma-related surgeries.
Related CDT Codes
Frequently Asked Questions
Open reduction involves surgically exposing and realigning the fractured bones, while closed reduction manipulates the bones without surgery.
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