Is pre-authorization required for D7940?

Pre-authorization is often required, depending on the patient's insurance plan. It's essential to check with the insurer before scheduling the procedure.

Can D7940 be billed alongside orthodontic treatments?

Yes, D7940 can be billed in conjunction with orthodontic treatments, especially when the surgery is part of a comprehensive treatment plan.

Are there age restrictions for using D7940?

There are no specific age restrictions, but the procedure is typically performed when jaw growth is complete or as part of a coordinated treatment plan.

What are the common outcomes of this procedure?

Patients often experience improved jaw function, enhanced facial aesthetics, and resolution of issues like difficulty in chewing or speaking.

D7940

Osteoplasty for Orthognathic Deformities - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT Code D7940 refers to osteoplasty for orthognathic deformities, a surgical procedure aimed at reconstructing the jaws to correct congenital, developmental, or acquired deformities. This procedure is crucial for patients who have jaw misalignments due to birth defects, developmental issues, or trauma. It involves reshaping or repositioning the jaw bones to achieve proper alignment and function, which can significantly improve a patient's oral health and facial aesthetics. Typically, this surgery is performed by an oral and maxillofacial surgeon and may require collaboration with orthodontists for comprehensive treatment planning.

When to Use This Code

Correction of congenital jaw deformities such as cleft palate.
Reconstruction following traumatic injury to the jaw.
Surgical intervention for developmental jaw misalignment.
Preparation for orthodontic treatment requiring jaw repositioning.
Addressing functional issues like difficulty in chewing or speaking due to jaw misalignment.

Documentation Requirements

Detailed surgical report outlining the procedure performed.
Pre-operative and post-operative diagnostic imaging.
Patient's medical and dental history indicating the necessity of the procedure.
Orthodontic and surgical treatment plan documentation.
Insurance pre-authorization if required.
Post-operative care instructions and follow-up notes.

Billing Considerations

When billing for D7940, ensure that all documentation supports the medical necessity of the procedure. Check for any frequency limitations imposed by insurance providers. Common modifiers may include those indicating bilateral procedures or additional complexity. It's crucial to verify coverage with the patient's insurance, as some plans may require pre-authorization or have specific criteria for coverage.

Related CDT Codes

D7941 D7943 D7944 D7945 D7946

Frequently Asked Questions

D7940 is for osteoplasty addressing orthognathic deformities, while D7941 is for osteotomy, a different surgical approach to jaw correction.

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