D7740

Mandible Closed Reduction - CDT Code Guide

Oral & Maxillofacial Surgery/Treatment of Open Fractures

Overview

CDT Code D7740 pertains to the closed reduction of a fractured mandible, a procedure commonly performed in oral and maxillofacial surgery. This procedure involves the alignment and stabilization of a fractured jaw without surgical exposure of the fracture site. It is typically indicated in cases where the fracture is not severely displaced or when surgical intervention is not feasible. Patients who have sustained trauma to the jaw, such as from sports injuries or accidents, may require this procedure. The goal is to restore normal function and occlusion while minimizing complications.

When to Use This Code

  • When a patient presents with a non-displaced mandible fracture
  • In cases where surgical exposure of the fracture is not necessary
  • For patients who have sustained a jaw fracture from a sports injury
  • When immediate stabilization of the jaw is required post-trauma
  • In scenarios where less invasive treatment is preferred

Documentation Requirements

  • Detailed patient history and examination notes
  • Radiographic evidence of the mandible fracture
  • Clinical notes outlining the decision for closed reduction
  • Informed consent documentation
  • Post-procedure care instructions and follow-up plan
  • Documentation of any complications or deviations from the planned procedure

Billing Considerations

When billing for D7740, ensure that the procedure is justified by clinical necessity and supported by appropriate documentation. Check for any frequency limitations imposed by the patient's insurance plan. Common modifiers may include those indicating the specific location of the fracture or any additional procedures performed concurrently. Coordination with the patient's medical insurance may be necessary, as oral and maxillofacial surgery often overlaps with medical coverage.

Related CDT Codes

Frequently Asked Questions

Closed reduction involves aligning the fracture without surgical exposure, while open reduction requires surgical access to the fracture site.

Source: CDT 2023 © American Dental Association

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