Impacted Tooth Removal - CDT Code Guide
Overview
CDT code D7240 refers to the removal of a completely bony impacted tooth, a procedure commonly performed in oral and maxillofacial surgery. This code is used when most or all of the tooth's crown is covered by bone, necessitating the elevation of a mucoperiosteal flap and the removal of bone to access and extract the tooth. This procedure is typically required for impacted wisdom teeth or other teeth that have not erupted properly due to being encased in bone. It involves local anesthesia and may include suturing and routine postoperative care. Dental professionals use this code to ensure accurate billing and documentation for complex extractions that require surgical intervention.
When to Use This Code
- Extraction of a completely bony impacted third molar (wisdom tooth)
- Removal of an impacted tooth that is fully encased in bone
- Surgical extraction when a tooth has not erupted due to bone coverage
- Cases where a mucoperiosteal flap elevation and bone removal are necessary
- When routine postoperative care is anticipated following extraction
Documentation Requirements
- Detailed clinical notes describing the tooth's impaction and bone coverage
- Radiographic evidence supporting the need for surgical extraction
- Description of the surgical procedure, including flap elevation and bone removal
- Anesthesia records indicating the use of local anesthesia
- Postoperative care instructions and follow-up details
- Patient consent forms for surgical extraction
Billing Considerations
When billing for D7240, it's important to note that this code is used for completely bony impactions only. Ensure that radiographic evidence supports the claim. Common modifiers include those indicating the quadrant or tooth number. Be aware of insurance policies that may limit coverage for impacted tooth extractions, and verify patient benefits before proceeding with the procedure.
Related CDT Codes
Frequently Asked Questions
D7240 is used for completely bony impactions, while D7230 is for partially bony impactions.
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