Open Reduction of Dislocation - CDT Code Guide
Overview
CDT Code D7810 refers to the open reduction of dislocation, specifically involving the temporomandibular joint (TMJ). This surgical procedure is necessary when there is a dislocation of the TMJ that cannot be corrected through non-surgical methods. The procedure involves making a surgical incision to access the joint, allowing the oral surgeon to manually reposition the dislocated joint components. This code is categorized under Oral & Maxillofacial Surgery, focusing on the reduction of dislocation and management of TMJ dysfunctions. Typical scenarios for this procedure include severe TMJ dislocations due to trauma or chronic dislocation issues that impair jaw function and cause significant pain.
When to Use This Code
- Severe TMJ dislocation due to facial trauma
- Chronic TMJ dislocation causing functional impairment
- Recurrent TMJ dislocation not responsive to conservative treatments
- Dislocation with associated fractures requiring surgical intervention
Documentation Requirements
- Detailed patient history and examination findings
- Radiographic evidence of TMJ dislocation
- Pre-operative and post-operative surgical notes
- Informed consent detailing risks and benefits
- Operative report with specifics of the surgical approach
Billing Considerations
When billing for D7810, ensure that the procedure is medically necessary and well-documented. Frequency limitations may apply based on the patient's insurance policy. Common modifiers include -22 for increased procedural services if the surgery is more complex than usual. It's crucial to verify coverage with the patient's insurance provider as TMJ procedures often have specific guidelines.
Related CDT Codes
Frequently Asked Questions
Open reduction involves a surgical incision to access and reposition the TMJ, while closed reduction is a non-surgical method using external manipulation.
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