Can D7140 be used for wisdom teeth extraction?

D7140 is typically used for erupted teeth. Impacted wisdom teeth may require different codes such as D7230 or D7240.

Is suturing always required for D7140?

Suturing is not always required but is included in the code if necessary for closure after extraction.

How does D7140 differ from surgical extraction codes?

D7140 is for routine extractions of erupted teeth, while surgical extraction codes like D7210 are used for more complex procedures involving impacted teeth or additional surgical techniques.

Are there any age restrictions for using D7140?

There are no specific age restrictions for D7140, but the procedure should be clinically justified for each patient based on their dental condition.

D7140

Extraction, Erupted Tooth - CDT Code Guide

Oral & Maxillofacial Surgery/Extractions (Includes Local Anesthesia, Suturing If Needed, and Routine Postoperative Care)

Overview

CDT code D7140 refers to the extraction of an erupted tooth or exposed root using elevation and/or forceps. This procedure is commonly performed when a tooth is damaged beyond repair due to decay, trauma, or periodontal disease. The process includes the removal of tooth structure, minor smoothing of the socket bone, and closure if necessary. It is a routine procedure in oral and maxillofacial surgery, often done under local anesthesia. Dental professionals use this code to document and bill for the extraction of teeth that are visible in the mouth and do not require surgical intervention beyond standard removal techniques. Patients typically undergo this procedure when a tooth is causing pain, infection, or is part of orthodontic treatment plans.

When to Use This Code

Extraction of a decayed tooth that cannot be restored
Removal of a fractured tooth with exposed root
Extraction of a tooth for orthodontic purposes
Removal of a tooth causing pain or infection
Extraction of a tooth with severe periodontal disease

Documentation Requirements

Detailed patient history and clinical examination notes
Radiographic evidence supporting the need for extraction
Informed consent form signed by the patient
Procedure notes including anesthesia used and technique
Postoperative care instructions provided to the patient

Billing Considerations

When billing for D7140, ensure that the extraction is not part of a more complex surgical procedure, which may require a different code. Verify with the patient's insurance for any frequency limitations on extractions. Common modifiers include those indicating the quadrant or arch involved. Always check for specific payer guidelines as some insurance plans may have restrictions or require prior authorization.

Related CDT Codes

D7210 D7230 D7240 D7250 D7220

Frequently Asked Questions

D7140 includes the removal of the tooth, minor smoothing of the socket bone, and closure if necessary, along with local anesthesia and routine postoperative care.

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