Is arthrocentesis a surgical procedure?

Arthrocentesis is considered a minimally invasive procedure, not a traditional surgery, as it involves aspiration of fluid rather than incisions.

Can arthrocentesis be performed in a dental office?

Yes, arthrocentesis can be performed in a dental office equipped with the necessary sterile instruments and trained personnel.

How long does recovery take after arthrocentesis?

Recovery is typically quick, with most patients experiencing relief within a few days, though some may have minor discomfort immediately after the procedure.

Are there any risks associated with arthrocentesis?

While generally safe, risks may include infection, bleeding, or temporary discomfort at the aspiration site.

D7870

Arthrocentesis - CDT Code Guide

Oral & Maxillofacial Surgery/Reduction of Dislocation and Management of Other Temporomandibular Joint Dysfunctions

Overview

CDT Code D7870 refers to the procedure known as arthrocentesis, which involves the withdrawal of fluid from a joint space by aspiration. This procedure is typically performed in cases where there is an accumulation of excess fluid within the temporomandibular joint (TMJ), often due to inflammation or infection. Arthrocentesis is a minimally invasive procedure that can help alleviate pain, improve joint function, and provide diagnostic information about the joint condition. It is commonly used in the management of TMJ disorders, particularly when conservative treatments have not been effective. Dental professionals may perform this procedure in a clinical setting, using sterile techniques to ensure patient safety.

When to Use This Code

When there is suspected fluid accumulation in the TMJ causing pain or dysfunction.
In cases of TMJ inflammation where conservative treatments have failed.
To obtain synovial fluid samples for diagnostic purposes.
When there is a need to relieve pressure and improve joint mobility in TMJ disorders.
As part of a treatment plan for TMJ dysfunctions involving joint effusion.

Documentation Requirements

Detailed patient history and clinical examination findings.
Indication for the procedure, including symptoms and previous treatments.
Consent form signed by the patient, acknowledging understanding of the procedure.
Description of the procedure performed, including techniques and materials used.
Post-procedure care instructions provided to the patient.

Billing Considerations

When billing for D7870, ensure that the procedure is medically necessary and documented appropriately. Frequency limitations may apply depending on the patient's insurance plan. Common modifiers include those indicating bilateral procedures if applicable. It's important to verify coverage with the patient's insurance provider, as some plans may require prior authorization.

Related CDT Codes

D7880 D7899 D7881 D7890 D7891

Frequently Asked Questions

The primary purpose of arthrocentesis is to relieve joint pain and improve function by removing excess fluid from the joint space.

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