Joint Reconstruction - CDT Code Guide
Overview
CDT Code D7858 pertains to the reconstruction of joint components, excluding soft tissues, using materials such as autogenous, homologous, or alloplastic. This procedure is typically performed by oral and maxillofacial surgeons to address significant joint dysfunctions, particularly in the temporomandibular joint (TMJ). The goal is to restore function and alleviate pain associated with joint disorders. Patients who have experienced trauma, degenerative joint disease, or congenital anomalies may require this surgical intervention. The procedure involves careful planning and execution to ensure optimal outcomes, often requiring a multidisciplinary approach involving dental specialists and medical professionals.
When to Use This Code
- Severe temporomandibular joint dysfunction requiring surgical intervention
- Reconstruction following trauma to the jaw joint
- Degenerative joint disease affecting the TMJ
- Congenital anomalies necessitating joint reconstruction
- Failed previous joint surgeries requiring corrective procedures
Documentation Requirements
- Detailed patient history and clinical examination notes
- Radiographic evidence supporting the need for reconstruction
- Pre-operative and post-operative surgical reports
- Materials used for reconstruction documented in the surgical notes
- Patient consent forms and discussion of potential risks and benefits
Billing Considerations
When billing for D7858, ensure that the procedure is medically necessary and well-documented. Check for any frequency limitations imposed by insurance providers. Common modifiers may include those indicating bilateral procedures or complications. Verify with the patient's insurance for coverage specifics, as some plans may require prior authorization.
Related CDT Codes
Frequently Asked Questions
Materials can include autogenous bone grafts, homologous tissue, or alloplastic materials like titanium.
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