D7780

Facial Bones Complicated Reduction - CDT Code Guide

Oral & Maxillofacial Surgery/Treatment of Open Fractures

Overview

CDT code D7780 pertains to the surgical procedure involving the complicated reduction of fractures in the facial bones with fixation, utilizing multiple approaches. This procedure is typically necessary when a patient has sustained significant trauma to the facial area, affecting structures such as the upper jaw, lower cheek, and bones around the eyes, nose, and ears. The surgery involves making an incision to access and properly align the fractured bones, often requiring the use of fixation devices to stabilize the bones during healing. This code is crucial in oral and maxillofacial surgery, addressing complex fractures that cannot be treated with simpler methods.

When to Use This Code

  • Severe facial trauma resulting in multiple fractures requiring surgical intervention
  • Fractures involving the upper jaw and cheekbones with displacement
  • Complex fractures around the orbital region needing stabilization
  • Cases where multiple surgical approaches are necessary for adequate reduction
  • Fractures involving the nasal bones with associated complications

Documentation Requirements

  • Detailed operative report describing the surgical procedure and approaches used
  • Pre-operative and post-operative imaging studies to document fracture and reduction
  • Patient's medical history and trauma details leading to the procedure
  • Description of fixation devices used and their placement
  • Post-operative care instructions and follow-up plans
  • Consent forms and patient agreement for the procedure

Billing Considerations

When billing for D7780, ensure that the procedure is clearly documented with all necessary details, as insurance may require justification for the complexity and multiple approaches. Be aware of any frequency limitations imposed by the patient's insurance plan. Common modifiers may include those indicating bilateral procedures or additional complexity. Coordination with the patient's medical insurance may be necessary, as this procedure often involves both dental and medical considerations.

Related CDT Codes

Frequently Asked Questions

D7780 is specific to complicated reductions involving multiple approaches and fixation, typically for severe or complex fractures.

Source: CDT 2023 © American Dental Association

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