Malar/Zygomatic Arch Reduction - CDT Code Guide
Overview
CDT code D7660 pertains to the closed reduction of fractures in the malar and/or zygomatic arch, which are parts of the cheekbone structure. This procedure is typically performed by oral and maxillofacial surgeons when a patient has sustained a fracture to these facial bones, often due to trauma such as a fall, sports injury, or accident. The closed reduction technique involves realigning the bone fragments without surgical exposure of the fracture, promoting healing while minimizing surgical risks. Understanding this code is crucial for accurate billing and documentation in dental practices that handle facial trauma cases.
When to Use This Code
- A patient presents with a non-displaced fracture of the zygomatic arch following a sports injury.
- Closed reduction of a malar fracture resulting from a fall with no open wounds.
- Treatment of a cheekbone fracture in a patient who prefers a non-surgical approach.
- Realignment of a zygomatic arch fracture in a patient with contraindications for open surgery.
- Post-trauma management of facial fractures in a dental emergency setting.
Documentation Requirements
- Detailed patient history and physical examination findings.
- Radiographic evidence confirming the fracture and its location.
- Clinical notes documenting the decision for closed reduction technique.
- Informed consent form signed by the patient or guardian.
- Post-procedure care instructions and follow-up plan.
- Documentation of any complications or deviations from the planned procedure.
Billing Considerations
When billing for D7660, it is important to note any frequency limitations imposed by insurance providers, as repeated procedures may require additional documentation. Common modifiers include those indicating bilateral procedures or unusual circumstances. Ensure that the patient's insurance plan covers oral and maxillofacial surgery, as coverage can vary significantly.
Related CDT Codes
Frequently Asked Questions
Closed reduction involves realigning the bone without surgical exposure, while open reduction requires surgical access to the fracture site.
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