Malar/Zygomatic Arch Reduction - CDT Code Guide
Overview
CDT Code D7760 refers to the closed reduction of fractures involving the malar and/or zygomatic arch. This procedure is typically performed by oral and maxillofacial surgeons to realign fractured bones in the cheek and upper jaw area without surgical exposure of the fracture site. It is often necessary following trauma or injury to the face, such as from sports accidents or falls. The procedure aims to restore the normal anatomical structure and function of the facial bones, ensuring proper alignment and stability. Closed reduction is generally preferred when the fracture is non-displaced or minimally displaced, allowing for a less invasive approach compared to open reduction.
When to Use This Code
- Non-displaced fracture of the zygomatic arch due to a sports injury
- Minimally displaced malar fracture from a fall
- Facial trauma resulting in a stable zygomatic fracture
- Fracture reduction in a patient with contraindications for open surgery
- Post-traumatic facial asymmetry correction without surgical exposure
Documentation Requirements
- Detailed patient history and clinical examination notes
- Radiographic evidence of the fracture and its alignment
- Description of the procedure performed, including technique and tools used
- Post-operative care instructions and follow-up plan
- Informed consent documentation
- Pre- and post-procedure photographs if applicable
Billing Considerations
When billing for D7760, it's important to verify the patient's insurance coverage for oral and maxillofacial procedures, as policies may vary. Consider using modifiers to indicate bilateral procedures if applicable. Note that some insurance plans may require prior authorization, especially if the procedure is related to trauma. Frequency limitations typically do not apply, but ensure documentation supports the medical necessity of the procedure.
Related CDT Codes
Frequently Asked Questions
Closed reduction involves realigning the fractured bones without surgical exposure, while open reduction requires surgical access to the fracture site.
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