Surgical Sialolithotomy - CDT Code Guide
Overview
CDT Code D7980 refers to the surgical sialolithotomy procedure, a specialized oral and maxillofacial surgery. This procedure involves the removal of a stone, known as a sialolith, from within a salivary gland or its duct. Sialoliths can cause blockages, leading to pain, swelling, and infection. The procedure can be performed intraorally, through the mouth, or extraorally, through an incision on the skin. Dental professionals typically perform this surgery when non-surgical methods are ineffective. Understanding the clinical context and indications for this procedure is crucial for both dental professionals and patients. It is often necessary when a patient presents with symptoms such as persistent swelling, pain in the salivary gland area, or recurrent infections.
When to Use This Code
- Patient presents with a confirmed sialolith causing obstruction in a salivary duct.
- Non-surgical methods have failed to relieve symptoms caused by a salivary stone.
- Recurrent salivary gland infections due to stone obstruction.
- Persistent pain and swelling in the salivary gland area.
- Radiographic evidence of a large sialolith that requires surgical intervention.
Documentation Requirements
- Detailed patient history and examination notes indicating symptoms and diagnosis.
- Radiographic or imaging evidence confirming the presence of a sialolith.
- Pre-operative and post-operative notes documenting the procedure and patient response.
- Consent forms signed by the patient, acknowledging understanding of the procedure and risks.
- Operative report detailing the surgical approach, findings, and any complications.
Billing Considerations
When billing for D7980, ensure that the procedure is well-documented and medically necessary. Check with the patient's insurance for coverage details, as some plans may require prior authorization. Be aware of any frequency limitations and consider using modifiers if the procedure is part of a more extensive treatment plan. Coordination with medical insurance may be necessary if the procedure is deemed medically necessary beyond dental coverage.
Related CDT Codes
Frequently Asked Questions
A sialolith is a calcified stone that forms within a salivary gland or its duct, often causing blockages and symptoms like pain and swelling.
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