D7680

Facial Bones Complicated Reduction - CDT Code Guide

Oral & Maxillofacial Surgery/Treatment of Closed Fractures

Overview

CDT Code D7680 pertains to the complex reduction of facial bone fractures involving fixation and multiple surgical approaches. This procedure is essential in cases where the facial bones, including the upper and lower jaw, cheek, and bones around the eyes, nose, and ears, have sustained significant trauma. Typically, this code is used in scenarios involving severe facial injuries resulting from accidents or violence, requiring intricate surgical intervention to restore function and aesthetics. Dental professionals and oral surgeons often encounter this procedure in emergency settings or specialized surgical centers, where comprehensive care is necessary to address both the functional and cosmetic aspects of facial trauma.

When to Use This Code

  • Severe facial trauma from a car accident requiring multiple surgical approaches
  • Complex fractures involving the upper and lower jaw needing fixation
  • Facial injuries from sports accidents with multiple bone involvement
  • Violent incidents resulting in complicated fractures of facial bones
  • Reconstructive surgery following severe facial trauma with multiple fractures

Documentation Requirements

  • Detailed surgical report outlining the procedures performed
  • Pre-operative and post-operative imaging studies
  • Comprehensive patient history and physical examination notes
  • Anesthesia records and surgical time documentation
  • Detailed notes on fixation methods and materials used
  • Post-operative care instructions and follow-up plans

Billing Considerations

When billing for D7680, it's crucial to consider any frequency limitations imposed by insurance providers. Common modifiers might include those indicating bilateral procedures or additional complexity. Ensure pre-authorization from insurance companies, as this procedure often involves significant costs due to its complexity and the need for specialized surgical intervention.

Related CDT Codes

Frequently Asked Questions

D7680 covers the reduction of complicated facial bone fractures with fixation, involving multiple surgical approaches to address severe injuries.

Source: CDT 2023 © American Dental Association

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