Is corticotomy covered by insurance?

Coverage for corticotomy varies by insurance provider and plan. It is essential to verify with the patient's insurance to determine if the procedure is covered and what documentation is required.

Can corticotomy be performed on any patient undergoing orthodontic treatment?

Corticotomy is not suitable for all patients. It is typically reserved for cases where accelerated tooth movement is necessary and should be evaluated by a specialist.

What are the potential risks of a corticotomy?

As with any surgical procedure, corticotomy carries risks such as infection, swelling, and discomfort. It is important for patients to discuss these risks with their oral surgeon.

How does corticotomy affect orthodontic treatment time?

Corticotomy can significantly reduce orthodontic treatment time by facilitating faster tooth movement, often cutting the treatment duration by several months.

D7296

Corticotomy - CDT Code Guide

Oral & Maxillofacial Surgery/Other Surgical Procedures

Overview

CDT code D7296 refers to a corticotomy procedure involving one to three teeth or tooth spaces per quadrant. This surgical intervention is designed to facilitate the orthodontic repositioning of teeth by creating cuts, perforations, or removing cortical, alveolar, or basal bone of the jaw. The procedure includes flap entry and closure, but any graft material or membrane used should be reported separately. Corticotomy is typically employed in cases where accelerated tooth movement is desired, often in conjunction with orthodontic treatments. It is a specialized procedure that requires careful planning and execution by oral and maxillofacial surgeons.

When to Use This Code

When accelerated orthodontic tooth movement is required.
In cases where traditional orthodontic methods are insufficient.
To facilitate the repositioning of impacted teeth.
When there is a need to reduce treatment time for orthodontic cases.
In conjunction with orthodontic appliances to enhance outcomes.

Documentation Requirements

Detailed surgical report including the number of teeth or spaces involved.
Pre-operative and post-operative radiographs.
Orthodontic treatment plan outlining the need for corticotomy.
Patient consent form acknowledging understanding of the procedure.
Documentation of any graft material or membrane used, reported separately.

Billing Considerations

Ensure that the procedure is documented thoroughly, as insurance may require detailed justification for the use of corticotomy. Note that graft materials and membranes are billed separately. Be aware of frequency limitations and check with the patient's insurance for coverage specifics. Common modifiers may include those indicating multiple quadrants or additional procedures performed simultaneously.

Related CDT Codes

D7280 D7283 D4260 D4263 D4266

Frequently Asked Questions

The primary purpose of a corticotomy is to facilitate the accelerated movement of teeth during orthodontic treatment by altering the bone structure around the teeth.

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