Alveolus Open Reduction - CDT Code Guide
Overview
CDT Code D7770 pertains to the open reduction and stabilization of teeth in cases where the alveolus, or the bony socket of the teeth, has been fractured and exposed to the oral environment. This procedure is crucial when the fracture involves the bone being exposed outside the face, necessitating an incision to properly reduce the fracture. Typically performed by oral and maxillofacial surgeons, this procedure ensures that the fractured bone is realigned and stabilized, often involving the use of fixation devices. Common scenarios include traumatic injuries from accidents or sports, where the integrity of the jawbone is compromised, requiring surgical intervention to restore function and aesthetics.
When to Use This Code
- Traumatic facial injuries resulting in exposed bone fractures
- Sports-related accidents causing alveolar fractures
- Motor vehicle accidents leading to jawbone exposure
- Severe dental trauma with bone displacement
- Complex cases of facial fractures requiring surgical intervention
Documentation Requirements
- Detailed patient history and clinical examination notes
- Radiographic evidence supporting the need for open reduction
- Surgical notes detailing the procedure and materials used
- Post-operative care instructions and follow-up plan
- Pre-authorization from insurance if required
- Consent forms signed by the patient
Billing Considerations
When billing for D7770, ensure that the procedure is not billed more frequently than necessary, as it is typically a one-time intervention per injury. Common modifiers include those indicating the specific quadrant of the mouth treated. Insurance may require pre-authorization, especially for elective or non-emergency cases. Coordination with medical insurance might be necessary if the procedure is part of a broader treatment plan for facial trauma.
Related CDT Codes
Frequently Asked Questions
The primary purpose is to realign and stabilize fractured alveolar bone exposed to the oral environment, ensuring proper healing and function.
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