D7290

Surgical Repositioning of Teeth - CDT Code Guide

Oral & Maxillofacial Surgery/Other Surgical Procedures

Overview

CDT code D7290 refers to the surgical repositioning of teeth, a procedure often necessary in cases where teeth need to be moved surgically to improve alignment or function. This procedure is typically performed by an oral surgeon and may involve the use of grafting procedures, which are billed separately. Common scenarios include correcting teeth that have been displaced due to trauma, or in preparation for orthodontic treatment. The procedure is vital for ensuring proper occlusion and function, and it can also have significant aesthetic benefits.

When to Use This Code

  • When a tooth has been displaced due to trauma and requires repositioning.
  • In preparation for orthodontic treatment where surgical intervention is necessary.
  • To correct teeth alignment that cannot be achieved through orthodontics alone.
  • When repositioning is required to improve occlusion and function.
  • In cases where teeth need to be moved to facilitate prosthetic rehabilitation.

Documentation Requirements

  • Detailed clinical notes describing the necessity of the procedure.
  • Pre-operative and post-operative radiographs.
  • Patient consent forms for surgical intervention.
  • Documentation of any grafting procedures performed.
  • Comprehensive treatment plan outlining the goals of repositioning.
  • Notes on any complications or additional procedures required.

Billing Considerations

When billing for D7290, ensure that any grafting procedures are billed separately as they are not included in this code. Be aware of any frequency limitations imposed by insurance providers. Common modifiers may include those indicating the specific quadrant or arch involved. Verify with the patient's insurance for coverage details, as some plans may have specific requirements or limitations for surgical procedures.

Related CDT Codes

Frequently Asked Questions

No, grafting procedures are not included and should be billed separately.

Source: CDT 2023 © American Dental Association

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