D7280

Exposure of Unerupted Tooth - CDT Code Guide

Oral & Maxillofacial Surgery/Other Surgical Procedures

Overview

CDT code D7280 refers to the surgical procedure involving the exposure of an unerupted tooth. This procedure is typically performed by an oral surgeon when a tooth, often a canine or premolar, fails to erupt naturally into the dental arch. The process involves making an incision in the gum tissue, reflecting the tissue, and removing bone as necessary to expose the crown of the impacted tooth. This is usually done to facilitate orthodontic treatment or to allow for the natural eruption of the tooth. The procedure is crucial in cases where the tooth is not intended to be extracted but requires exposure to aid in proper alignment and function within the dental arch.

When to Use This Code

  • When a canine or premolar is impacted and needs exposure for orthodontic treatment.
  • In cases where a tooth is unerupted but not intended for extraction.
  • When bone removal is necessary to expose the crown of an impacted tooth.
  • For surgical exposure of a tooth to aid in its natural eruption.
  • When an unerupted tooth is causing alignment issues in the dental arch.

Documentation Requirements

  • Detailed clinical notes describing the impacted tooth and reason for exposure.
  • Radiographic evidence supporting the need for the procedure.
  • Pre-operative and post-operative photographs, if applicable.
  • Patient consent forms acknowledging understanding of the procedure.
  • Orthodontic treatment plan if the exposure is part of a larger orthodontic intervention.

Billing Considerations

When billing for D7280, ensure that the procedure is not confused with extraction codes. It is important to document the necessity of the exposure and any related orthodontic treatment plans. Common modifiers may include those indicating the specific quadrant or arch involved. Insurance policies may vary, so verify coverage for surgical exposure procedures, especially if they are part of orthodontic treatment.

Related CDT Codes

Frequently Asked Questions

The purpose is to facilitate the natural eruption of the tooth or to aid in orthodontic treatment by making the tooth accessible.

Source: CDT 2023 © American Dental Association

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