D7297

Corticotomy - CDT Code Guide

Oral & Maxillofacial Surgery/Other Surgical Procedures

Overview

CDT code D7297 refers to a corticotomy procedure involving the surgical modification of the jaw's cortical, alveolar, or basal bone. This is done to facilitate the orthodontic repositioning of teeth. The procedure includes making multiple cuts or perforations, and it involves flap entry and closure. This code is crucial for cases where conventional orthodontic methods are insufficient, particularly in complex dental realignments. It is commonly used in oral and maxillofacial surgery, providing a means to accelerate tooth movement and improve outcomes in orthodontic treatment plans.

When to Use This Code

  • When a patient requires accelerated orthodontic treatment.
  • In cases where traditional orthodontic methods are not effective.
  • For patients with dense cortical bone impeding tooth movement.
  • When preparing for complex orthodontic realignment.
  • In conjunction with grafting procedures to enhance bone support.

Documentation Requirements

  • Detailed patient history and diagnosis supporting the need for corticotomy.
  • Pre-operative and post-operative radiographs.
  • Description of the surgical technique and materials used.
  • Documentation of flap entry and closure.
  • Separate reporting of any graft materials or membranes used.
  • Patient consent forms and treatment plan.

Billing Considerations

Ensure accurate reporting by documenting the number of teeth or spaces treated per quadrant. Consider frequency limitations and verify with the patient's insurance for coverage specifics. Use appropriate modifiers if additional procedures are performed concurrently. Graft materials and membranes should be billed separately.

Related CDT Codes

Frequently Asked Questions

The primary purpose is to facilitate and accelerate orthodontic tooth movement by modifying the bone structure.

Source: CDT 2023 © American Dental Association

Need help with dental coding?

Our AI-powered assistant can answer your CDT code questions instantly.