Who performs the closure of a salivary fistula?

An oral and maxillofacial surgeon typically performs this procedure due to the complexity and precision required.

Is prior authorization needed for D7983?

Many insurance plans require prior authorization for surgical procedures like D7983. It's important to verify with the patient's insurance provider.

What are the risks associated with this procedure?

Risks may include infection, recurrence of the fistula, and complications related to anesthesia. Discuss these with your surgeon.

How long is the recovery period after this surgery?

Recovery time can vary, but patients typically need several weeks to heal fully, with follow-up visits to monitor progress.

D7983

Closure of Salivary Fistula - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT code D7983 pertains to the closure of a salivary fistula, which is an abnormal opening between a salivary duct or gland and the skin or oral cavity. This procedure is typically performed by an oral and maxillofacial surgeon to restore normal function and prevent complications such as infection or saliva leakage. The closure of a salivary fistula is crucial in cases where the fistula results from trauma, surgical complications, or pathological conditions affecting the salivary glands. This procedure involves careful surgical intervention to close the abnormal passage and ensure proper healing and functionality of the salivary system.

When to Use This Code

Post-surgical complication resulting in a salivary fistula
Trauma to the facial region causing an abnormal salivary duct opening
Chronic infection leading to fistula formation
Congenital abnormalities of the salivary glands
Pathological conditions affecting salivary duct integrity

Documentation Requirements

Detailed patient history and examination notes
Pre-operative imaging and diagnostic reports
Surgical notes detailing the procedure and techniques used
Post-operative care instructions and follow-up plans
Documentation of any complications or additional treatments
Patient consent forms and insurance pre-authorization, if applicable

Billing Considerations

When billing for D7983, ensure that the procedure is not part of a bundled service with other oral surgeries. Check for any frequency limitations imposed by the patient's insurance. Common modifiers may include those indicating bilateral procedures or complications. Verify coverage with the patient's insurance provider, as some plans may require prior authorization.

Related CDT Codes

D7999 D7950 D7970 D7980 D7991

Frequently Asked Questions

A salivary fistula is an abnormal connection between a salivary duct or gland and the skin or oral cavity, often requiring surgical closure.

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