Maxilla Closed Reduction - CDT Code Guide
Overview
CDT code D7620 refers to the closed reduction of a maxillary fracture without the need for an incision. This procedure is typically performed when a fracture occurs in the upper jaw (maxilla) and the alignment can be corrected without surgical exposure of the fracture site. The procedure may involve immobilizing the teeth if they are present to ensure proper healing. This code is crucial for dental professionals dealing with trauma cases where the maxilla is affected but does not require open surgical intervention. It is important for both dental professionals and patients to understand that this procedure is less invasive and focuses on realigning the bone through external manipulation.
When to Use This Code
- A patient presents with a maxillary fracture that can be realigned without surgery.
- The fracture is stable enough to be managed with closed reduction techniques.
- Teeth are present and need to be immobilized as part of the fracture treatment.
- The patient prefers a non-surgical approach to fracture management.
- The fracture does not involve complex displacement or require interosseous fixation.
Documentation Requirements
- Detailed clinical notes describing the fracture and treatment plan.
- Radiographic evidence supporting the diagnosis of a maxillary fracture.
- Documentation of the procedure performed, including any immobilization of teeth.
- Patient consent for the closed reduction procedure.
- Follow-up care instructions and patient compliance notes.
- Any complications or deviations from the planned procedure.
Billing Considerations
When billing for D7620, ensure that the procedure is clearly documented as a closed reduction without the need for incision. Be aware of any frequency limitations set by insurance providers, and consider using appropriate modifiers if additional procedures are performed concurrently. It's important to verify coverage with the patient's insurance, as some plans may have specific criteria for covering oral and maxillofacial surgery procedures.
Related CDT Codes
Frequently Asked Questions
D7620 is used for closed reduction without incision, while D7610 involves interosseous fixation.
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