Is removal of torus mandibularis covered by insurance?

Coverage varies by insurance provider and plan. It's essential to verify with the patient's insurance for specific coverage details.

How long is the recovery after torus mandibularis removal?

Recovery typically takes a few weeks, with patients advised to follow post-operative care instructions to ensure proper healing.

Can torus mandibularis reoccur after removal?

While uncommon, there is a possibility of recurrence. Regular dental check-ups can help monitor any changes.

What are the risks associated with the removal of torus mandibularis?

Risks include infection, bleeding, and temporary numbness, but these are generally rare with proper surgical technique.

D7473

Removal of Torus Mandibularis - CDT Code Guide

Oral & Maxillofacial Surgery/Excision of Bone Tissue

Overview

CDT Code D7473 refers to the removal of torus mandibularis, a procedure categorized under Oral & Maxillofacial Surgery. This involves the surgical excision of bony growths, known as tori, located on the lingual surface of the mandible. These bony protrusions can cause discomfort, interfere with oral functions, or complicate the fitting of dentures. The procedure typically involves local anesthesia and careful surgical removal of the excess bone tissue to restore normal oral function and comfort. Dental professionals may encounter this scenario in patients who experience irritation from the tori or when preparing the mouth for prosthetic appliances.

When to Use This Code

Patient experiences discomfort or ulceration due to torus mandibularis.
Torus mandibularis interferes with the fitting of dentures or other oral appliances.
Pre-surgical preparation for orthodontic or prosthodontic treatment.
Patient has difficulty maintaining oral hygiene due to the presence of tori.
Torus mandibularis causes speech impediments or functional issues.

Documentation Requirements

Detailed clinical notes describing the presence and impact of torus mandibularis.
Pre-operative diagnostic imaging, such as X-rays, showing the bony growths.
Patient consent forms for surgical intervention.
Post-operative notes detailing the procedure and patient recovery.
Billing records with accurate coding and any applicable modifiers.

Billing Considerations

When billing for D7473, ensure that the procedure is medically necessary and well-documented. Frequency limitations may apply, and it's important to check with the patient's insurance provider for coverage details. Common modifiers such as -22 for increased procedural services might be applicable if the surgery is more complex than usual.

Related CDT Codes

D7471 D7472 D7485 D7410 D7411

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Frequently Asked Questions

Torus mandibularis is a bony growth on the inner surface of the mandible, often benign but can cause discomfort or interfere with oral functions.

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