D7876

Arthroscopy Discectomy - CDT Code Guide

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

Overview

CDT code D7876 refers to the arthroscopic procedure for discectomy, a surgical intervention aimed at addressing temporomandibular joint (TMJ) dysfunction. This procedure involves the removal of the disc and remodeling of the posterior attachment through an arthroscope, a minimally invasive technique that allows for precise surgical intervention with reduced recovery time. Typically, this procedure is indicated for patients experiencing severe TMJ pain, limited jaw movement, or joint locking that has not responded to conservative treatments. By removing the damaged disc, the procedure helps alleviate pain and restore function to the TMJ.

When to Use This Code

  • Patients with severe TMJ pain unresponsive to non-surgical treatments
  • Cases of TMJ locking or limited jaw movement due to disc displacement
  • Chronic TMJ dysfunction with evidence of disc degeneration
  • When imaging studies confirm disc pathology contributing to TMJ symptoms

Documentation Requirements

  • Detailed patient history and symptoms related to TMJ dysfunction
  • Imaging studies (e.g., MRI) confirming disc pathology
  • Clinical notes documenting previous treatments and their outcomes
  • Surgical report detailing the procedure and findings
  • Post-operative care plan and follow-up appointments

Billing Considerations

When billing for D7876, ensure that the procedure is medically necessary and well-documented. Be aware of any frequency limitations imposed by insurance providers. Common modifiers such as -50 for bilateral procedures may apply. Verify coverage with the patient's insurance to avoid unexpected denials.

Related CDT Codes

Frequently Asked Questions

Recovery time can vary, but most patients experience significant improvement within a few weeks, with full recovery taking up to three months.

Source: CDT 2023 © American Dental Association

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