Manipulation Under Anesthesia - CDT Code Guide
Overview
CDT Code D7830 refers to the procedure of manipulation under anesthesia, typically performed under general anesthesia or intravenous sedation. This procedure is primarily used in the management of temporomandibular joint (TMJ) dysfunctions, particularly when other non-invasive treatments have failed to provide relief. During the procedure, the dental professional will carefully manipulate the jaw to improve joint function and alleviate pain. This is often necessary for patients experiencing severe TMJ dislocation or dysfunction that limits their ability to open or close their mouth properly. The procedure is usually performed in a hospital or surgical setting due to the need for anesthesia and the potential complexity of the manipulation.
When to Use This Code
- Severe TMJ dislocation that cannot be corrected with non-surgical methods
- Chronic TMJ dysfunction with significant pain and restricted movement
- Cases where conservative treatments like physical therapy have failed
- Patients with a history of recurrent TMJ dislocations
- When imaging shows structural abnormalities requiring manipulation
Documentation Requirements
- Detailed patient history and previous treatment attempts
- Pre-operative imaging studies such as X-rays or MRIs
- Anesthesia records indicating type and duration
- Operative report detailing the manipulation procedure
- Post-operative care instructions and follow-up plan
- Patient consent forms for anesthesia and procedure
Billing Considerations
When billing for D7830, ensure that all documentation supports the medical necessity of the procedure. Frequency limitations may apply, and it's important to verify coverage with the patient's insurance provider. Common modifiers include those indicating the type of anesthesia used. Coordination with medical insurance may be necessary due to the surgical nature of the procedure.
Related CDT Codes
Frequently Asked Questions
D7830 is typically performed under general anesthesia or intravenous sedation to ensure patient comfort and safety during the procedure.
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