Is nerve dissection always necessary during oral surgery?

No, it is only necessary when the surgical site is in close proximity to major nerves or when nerve involvement is anticipated.

How does nerve dissection affect recovery time?

Recovery time may be extended if nerve dissection is involved, as it requires careful handling and monitoring for potential nerve damage.

Can nerve dissection lead to complications?

Yes, potential complications include nerve damage, loss of sensation, or pain, which should be discussed with the patient preoperatively.

Are there alternatives to nerve dissection?

Alternatives depend on the specific case, but sometimes less invasive techniques or different surgical approaches can be considered.

D7259

Nerve Dissection - CDT Code Guide

Oral Surgery

Overview

CDT code D7259 pertains to the procedure of nerve dissection, which is typically performed during complex oral surgeries. This procedure involves the careful separation of nerve tissues to prevent damage during surgical interventions. It is often necessary in cases where the nerve is in close proximity to the surgical site, such as in the removal of impacted teeth or during the resection of oral pathologies. Dental professionals must ensure precise technique to avoid postoperative complications such as nerve damage or loss of sensation. Understanding the intricacies of this procedure is crucial for both dental surgeons and patients to ensure optimal outcomes.

When to Use This Code

When performing surgery near major nerve pathways.
During the extraction of impacted third molars with nerve involvement.
In the resection of oral tumors adjacent to nerve tissues.
When planning reconstructive surgery in the oral cavity.
To alleviate nerve compression in cases of severe trauma.

Documentation Requirements

Detailed surgical report outlining the procedure.
Pre-operative and post-operative imaging if applicable.
Patient consent forms specific to nerve dissection risks.
Clinical notes describing the indication for the procedure.
Anesthesia records and monitoring details.
Post-operative care instructions provided to the patient.

Billing Considerations

When billing for D7259, ensure that the procedure is documented thoroughly with a detailed report. Be aware of any frequency limitations imposed by insurance providers. Common modifiers may include those indicating bilateral procedures or complications. Verify coverage with the patient's insurance, as some plans may have specific requirements or exclusions for nerve-related surgeries.

Related CDT Codes

D7210 D7220 D7230 D7240 D7260

Frequently Asked Questions

The primary purpose is to carefully separate nerve tissues during surgery to prevent damage and preserve nerve function.

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