D7998

Intraoral Fixation Device - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT code D7998 refers to the intraoral placement of a fixation device that is not associated with treating fractures. This procedure involves the use of intermaxillary fixation appliances to address various medically accepted conditions such as jaw stabilization in orthodontic treatments or temporomandibular joint disorders. Unlike procedures associated with fractures, this code is used when the fixation device is necessary for other therapeutic reasons. Typically, this procedure is performed by oral and maxillofacial surgeons and requires precise documentation to ensure proper billing and compliance.

When to Use This Code

  • Stabilization of the jaw in orthodontic treatment plans
  • Management of temporomandibular joint disorders
  • Supportive treatment in orthognathic surgery recovery
  • Jaw alignment procedures not involving fractures
  • Adjunctive therapy for obstructive sleep apnea

Documentation Requirements

  • Detailed patient history and diagnosis justifying the need for fixation
  • Clinical notes describing the procedure performed
  • Radiographic evidence supporting the treatment plan
  • Documentation of the medical necessity for the fixation device
  • Post-operative care instructions and follow-up plans

Billing Considerations

When billing for D7998, ensure that the procedure is not linked to fracture treatment. Use appropriate modifiers if the procedure is part of a larger treatment plan. Verify with the patient's insurance for coverage specifics, as some plans may require pre-authorization or have limitations on the frequency of such procedures.

Related CDT Codes

Frequently Asked Questions

No, D7998 is specifically for fixation devices not related to fractures.

Source: CDT 2023 © American Dental Association

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