Is sialodochoplasty a common procedure?

While not as common as other oral surgeries, it is a critical procedure for patients with specific salivary duct issues, often performed by specialists in oral and maxillofacial surgery.

What are the potential complications of sialodochoplasty?

Potential complications include infection, scarring, or recurrence of ductal obstruction, which are generally manageable with proper surgical technique and post-operative care.

Can sialodochoplasty be performed on all salivary glands?

Yes, it can be performed on any of the major salivary glands, including the parotid, submandibular, and sublingual glands, depending on the location of the ductal issue.

How long is the recovery period after a sialodochoplasty?

Recovery time can vary, but most patients can expect to resume normal activities within a few days to a week, with full healing taking several weeks.

D7982

Sialodochoplasty - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT code D7982 refers to the procedure known as sialodochoplasty, which involves the repair of a defect or the restoration of a portion of a salivary gland duct. This procedure is typically performed by oral and maxillofacial surgeons to address issues such as blockages, strictures, or injuries to the salivary ducts. Sialodochoplasty is crucial for restoring normal salivary flow and function, which can be compromised due to trauma, infection, or congenital anomalies. By repairing the duct, patients can experience relief from symptoms like dry mouth, swelling, or recurrent infections, ultimately improving their oral health and quality of life.

When to Use This Code

Repair of a salivary duct stricture or blockage
Restoration after trauma to the salivary duct
Correction of congenital anomalies affecting salivary flow
Treatment of chronic sialadenitis with ductal involvement
Reconstruction post-tumor removal affecting the salivary duct

Documentation Requirements

Detailed clinical notes describing the defect or issue with the salivary duct
Pre-operative imaging or diagnostic studies supporting the need for repair
Operative report detailing the procedure performed
Post-operative care instructions and follow-up plan
Patient consent form acknowledging understanding of the procedure
Documentation of any complications or additional procedures performed

Billing Considerations

When billing for D7982, it is important to verify coverage with the patient's insurance provider, as some plans may have specific criteria for surgical repairs of salivary ducts. Common modifiers such as -51 for multiple procedures or -59 for distinct procedural services may be applicable. Frequency limitations are generally not a concern for this code, but pre-authorization may be required.

Related CDT Codes

D7981 D7970 D7999 D7950

Frequently Asked Questions

The primary goal is to repair or restore the function of a salivary gland duct to ensure proper salivary flow and prevent complications like infections or dry mouth.

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