Is D7945 covered by insurance?

Coverage depends on the patient's insurance plan and the medical necessity of the procedure. Pre-authorization is often required.

Can D7945 be used for both elective and medically necessary procedures?

Yes, D7945 can be used for both types of procedures, but documentation must clearly justify the medical necessity for insurance purposes.

What are the risks associated with mandibular osteotomy?

Risks include infection, nerve damage, and improper healing. These should be discussed with the patient during the consent process.

How should post-operative care be documented?

Document all follow-up visits, patient progress, any complications, and adherence to post-operative care instructions.

D7945

Osteotomy Body of Mandible - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT code D7945 refers to the osteotomy of the body of the mandible, a surgical procedure involving the sectioning of the lower jaw. This procedure is typically performed by an oral and maxillofacial surgeon and includes the exposure of the jawbone, making precise bone cuts, fixation of the bone segments, routine wound closure, and normal post-operative follow-up care. It is often necessary in cases where there is a need to correct jaw deformities, realign the jaw for functional or aesthetic reasons, or prepare the jaw for further dental procedures such as implants. Understanding the intricacies of this procedure is crucial for both dental professionals and patients to ensure optimal outcomes and proper billing.

When to Use This Code

Correction of mandibular deformities
Preparation for dental implants requiring jaw realignment
Treatment of jaw fractures that require repositioning
Orthognathic surgery to address malocclusion
Reconstruction following tumor removal

Documentation Requirements

Detailed patient history and clinical examination notes
Pre-operative imaging studies such as X-rays or CT scans
Surgical report detailing the procedure steps and fixation method
Post-operative care instructions and follow-up visit notes
Consent forms signed by the patient
Insurance pre-authorization documentation if applicable

Billing Considerations

When billing for D7945, ensure that all necessary documentation is complete and accurate. This code may require pre-authorization from insurance providers, especially if the procedure is deemed elective. Be aware of any frequency limitations imposed by insurers and consider using appropriate modifiers to indicate bilateral procedures or additional complexity. Coordination with the patient's insurance plan is crucial to determine coverage specifics.

Related CDT Codes

D7940 D7950 D7997 D7999

Frequently Asked Questions

Recovery time can vary, but patients generally require several weeks to fully heal, with initial swelling and discomfort subsiding within the first two weeks.

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