Is pre-authorization required for D7720?

Pre-authorization may be required depending on the patient's insurance plan. It's important to verify coverage beforehand.

Can D7720 be used for pediatric patients?

Yes, D7720 can be used for pediatric patients, especially when non-invasive treatment is preferred.

What documentation is needed for billing D7720?

Documentation should include clinical notes, radiographic evidence, procedure details, patient consent, and post-operative care instructions.

Are there any common modifiers used with D7720?

Yes, modifiers indicating bilateral procedures or other specific circumstances may be used with D7720.

D7720

Maxilla Closed Reduction - CDT Code Guide

Oral & Maxillofacial Surgery/Treatment of Open Fractures

Overview

CDT code D7720 refers to the closed reduction of a maxillary fracture, a procedure typically performed by oral and maxillofacial surgeons. This procedure involves the non-surgical realignment of fractured bones in the upper jaw (maxilla) without making an incision. It is often necessary in cases of facial trauma resulting from accidents, sports injuries, or falls. The goal is to restore the normal alignment and function of the jaw, ensuring proper bite and aesthetics. Understanding this code is crucial for dental professionals involved in the treatment planning and management of patients with facial fractures.

When to Use This Code

A patient presents with a maxillary fracture due to a sports injury.
A closed reduction is needed for a maxillary fracture resulting from a car accident.
A patient has a non-displaced maxillary fracture requiring stabilization.
Treatment of a maxillary fracture in a pediatric patient where non-invasive methods are preferred.
A patient with a maxillary fracture from a fall requires closed reduction.

Documentation Requirements

Detailed clinical notes describing the nature and extent of the fracture.
Radiographic evidence supporting the diagnosis of a maxillary fracture.
Documentation of the procedure performed, including the method of closed reduction.
Patient consent forms outlining the procedure and potential risks.
Post-operative care instructions and follow-up plan.
Insurance pre-authorization, if required, for the procedure.

Billing Considerations

When billing for D7720, ensure that the procedure is documented thoroughly to justify the use of this code. Frequency limitations may apply depending on the patient's insurance plan. Common modifiers include those indicating bilateral procedures if both sides of the maxilla are involved. Verify with the patient's insurance provider for coverage details and any pre-authorization requirements.

Related CDT Codes

D7610 D7630 D7640 D7650 D7670

Frequently Asked Questions

A closed reduction is a non-surgical procedure to realign fractured bones in the maxilla without making an incision.

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