Can D7230 be used for primary teeth?

No, D7230 is specifically for permanent teeth that are partially bony impacted.

Are there any age restrictions for using D7230?

There are no specific age restrictions, but it is commonly used for young adults with impacted wisdom teeth.

How should postoperative complications be documented?

Any complications should be documented with detailed clinical notes and any additional procedures should be coded separately.

D7230

Removal of Impacted Tooth - CDT Code Guide

Q: Is local anesthesia included in D7230?

Yes, local anesthesia, suturing if needed, and routine postoperative care are included in the code.

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

Overview

CDT Code D7230 pertains to the removal of an impacted tooth where part of the crown is covered by bone. This procedure involves the elevation of a mucoperiosteal flap and the removal of bone to access the tooth. It is typically performed by an oral surgeon or a dentist with specialized training in oral surgery. Common scenarios include wisdom teeth that have not fully erupted due to being partially encased in bone. This procedure is essential for preventing potential complications such as infection, pain, or damage to adjacent teeth.

When to Use This Code

When a wisdom tooth is partially covered by bone and causing pain or infection.
In cases where a partially erupted tooth is contributing to periodontal disease.
When orthodontic treatment requires the removal of a partially bony impacted tooth.
To prevent damage to adjacent teeth due to pressure from an impacted tooth.
When a partially impacted tooth is causing cyst formation.

Documentation Requirements

Detailed clinical notes describing the impaction and symptoms.
Radiographic evidence showing the position and partial bony coverage of the tooth.
Preoperative and postoperative notes including the procedure details.
Consent forms signed by the patient or guardian.
Anesthesia records if applicable.
Postoperative care instructions provided to the patient.

Billing Considerations

When billing for D7230, ensure that the procedure is clearly documented with radiographic evidence. Check with the patient's insurance for coverage details, as some plans may have specific criteria or frequency limitations for surgical extractions. Common modifiers include those for bilateral procedures or additional surgical complexity. Coordination with the patient's medical insurance may also be necessary if the extraction is deemed medically necessary.

Related CDT Codes

D7220 D7240 D7241 D7250 D7280

Frequently Asked Questions

D7230 is used for partially bony impacted teeth, whereas D7240 is for completely bony impacted teeth.

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