Complicated Suture Up to 5 cm - CDT Code Guide
Overview
CDT Code D7911 refers to a procedure involving complicated suturing up to 5 cm, typically performed in oral and maxillofacial surgery. This procedure is necessary when there is a need for delicate handling of tissues and wide undermining to ensure a meticulous closure. It is often required in cases where there has been significant tissue disruption due to trauma, surgical excision, or other complex oral conditions. The procedure demands a high level of precision and expertise to achieve optimal healing and aesthetic outcomes.
When to Use This Code
- Repair of lacerations in the oral cavity that are up to 5 cm in length.
- Closure of surgical sites after removal of large cysts or tumors.
- Reconstruction following traumatic injuries to the oral and maxillofacial region.
- Suturing after complex extractions requiring extensive tissue manipulation.
- Closure of defects following periodontal surgery with significant tissue involvement.
Documentation Requirements
- Detailed description of the procedure performed, including the length and location of the suture.
- Clinical notes indicating the complexity of the tissue handling and closure.
- Pre- and post-operative photographs if applicable.
- Patient consent forms acknowledging understanding of the procedure.
- Operative report detailing the surgical technique and materials used.
- Follow-up care instructions provided to the patient.
Billing Considerations
When billing for D7911, ensure that the complexity of the procedure is well-documented to justify its use. This code may be subject to frequency limitations based on the patient's insurance plan. Common modifiers such as -22 for increased procedural services may be applicable if the complexity exceeds typical expectations. Verify with the patient's insurance for coverage specifics and any pre-authorization requirements.
Related CDT Codes
Frequently Asked Questions
Use D7911 when the suturing involves delicate tissue handling and requires meticulous closure, typically in more complex surgical scenarios.
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