Reduction of Osseous Tuberosity - CDT Code Guide
Overview
CDT code D7485 refers to the reduction of osseous tuberosity, a procedure commonly performed in the field of oral and maxillofacial surgery. This procedure involves the surgical reduction of the bony prominence, or tuberosity, which is often necessary to improve the fit of a dental prosthesis or to alleviate discomfort caused by excessive bone mass. Typically, this procedure is indicated when the osseous tuberosity interferes with the placement of dentures or other oral appliances, or when it causes pain or functional issues for the patient. The reduction of osseous tuberosity is a precise surgical intervention that requires careful planning and execution by a skilled dental surgeon.
When to Use This Code
- When a patient experiences discomfort due to an enlarged osseous tuberosity.
- Prior to the placement of a dental prosthesis to ensure proper fit.
- To alleviate functional issues caused by excessive bone mass in the oral cavity.
- When the osseous tuberosity interferes with the placement of dentures.
- To improve oral hygiene access in areas obstructed by the tuberosity.
Documentation Requirements
- Detailed clinical notes describing the necessity of the procedure.
- Pre-operative and post-operative radiographs or imaging studies.
- Patient consent forms outlining the procedure and potential risks.
- Operative report detailing the surgical technique and findings.
- Documentation of any complications or follow-up care required.
- Verification of insurance coverage and pre-authorization if necessary.
Billing Considerations
When billing for D7485, it is important to verify the patient's insurance coverage and any pre-authorization requirements. This code may be subject to frequency limitations, so ensure that the procedure is documented as medically necessary. Common modifiers, such as those indicating bilateral procedures, may be applicable. Coordination with the patient's insurance provider can help determine if the procedure is covered under their plan.
Related CDT Codes
Frequently Asked Questions
The reduction is performed to improve the fit of dental prosthetics or to alleviate discomfort caused by excessive bone mass.
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