Closed Reduction of Dislocation - CDT Code Guide
Overview
The CDT code D7820 refers to the closed reduction of dislocation, a procedure that involves manipulating a joint back into its proper position without surgical exposure. This is a common treatment for dislocations of the temporomandibular joint (TMJ), which can occur due to trauma, excessive mouth opening, or underlying joint disorders. The procedure is typically performed by an oral and maxillofacial surgeon and involves carefully repositioning the joint to restore normal function and alleviate pain. Patients may experience immediate relief, although follow-up care is often necessary to ensure proper healing and prevent recurrence.
When to Use This Code
- A patient presents with a dislocated TMJ due to trauma.
- A patient experiences a dislocation from excessive yawning or mouth opening.
- A patient has a history of TMJ disorders leading to frequent dislocations.
- A patient requires non-surgical intervention for a dislocated jaw.
- A patient presents with acute pain and dysfunction from a jaw dislocation.
Documentation Requirements
- Detailed patient history and examination notes indicating dislocation.
- Description of the manipulation technique used during the procedure.
- Post-procedure assessment and any immediate outcomes or complications.
- Patient consent forms for the procedure.
- Follow-up care instructions and any recommended therapies.
Billing Considerations
When billing for D7820, ensure that the procedure is clearly documented as a closed reduction without surgical exposure. Frequency limitations may apply, and it is important to verify with the patient's insurance provider for coverage details. Common modifiers might include those indicating bilateral procedures if both joints are treated. Coordination with medical insurance may be necessary if the dislocation is trauma-related.
Related CDT Codes
Frequently Asked Questions
Closed reduction involves manipulating the joint back into place without surgical exposure, while open reduction requires surgical access to the joint.
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