D7981

Excision of Salivary Gland - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT Code D7981 refers to the excision of a salivary gland, a surgical procedure often necessitated by conditions such as chronic infections, blockages, or tumors affecting the salivary glands. This procedure is typically performed by an oral and maxillofacial surgeon and involves the complete removal of the affected gland. The surgery is usually indicated when less invasive treatments have failed to resolve the underlying issue. Patients undergoing this procedure can expect a detailed evaluation and imaging studies to determine the exact nature and extent of the problem. Post-operative care is crucial to ensure proper healing and to monitor for any complications.

When to Use This Code

  • Chronic sialadenitis unresponsive to conservative treatment
  • Obstructive sialolithiasis with recurrent symptoms
  • Benign or malignant tumors of the salivary gland
  • Severe trauma to the salivary gland requiring removal
  • Recurrent infections in a salivary gland

Documentation Requirements

  • Detailed patient history and clinical findings
  • Pre-operative imaging studies (e.g., ultrasound, MRI)
  • Surgical report detailing the procedure
  • Post-operative care instructions and follow-up plan
  • Pathology report if applicable
  • Consent forms signed by the patient

Billing Considerations

When billing for D7981, ensure that the procedure is medically necessary and well-documented. Check with the patient's insurance provider for any pre-authorization requirements. Be aware of any frequency limitations and use appropriate modifiers if the procedure is part of a more extensive treatment plan. Coordination with medical insurance may be necessary if the procedure is related to a systemic condition.

Related CDT Codes

Frequently Asked Questions

Conditions such as chronic infections, obstructive stones, or tumors often necessitate the removal of a salivary gland.

Source: CDT 2023 © American Dental Association

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