Is synovectomy a common procedure for TMJ disorders?

Synovectomy is typically considered when conservative treatments have failed, making it less common but crucial for certain severe or persistent cases.

What are the potential risks of a synovectomy?

As with any surgical procedure, synovectomy carries risks such as infection, bleeding, or damage to surrounding tissues, but these are generally low with proper surgical techniques.

How long is the recovery period after a synovectomy?

Recovery time can vary, but most patients can expect to resume normal activities within a few weeks, with full recovery taking several months.

Can synovectomy be performed arthroscopically?

Yes, synovectomy can often be performed using minimally invasive arthroscopic techniques, which may reduce recovery time and postoperative discomfort.

D7854

Synovectomy - CDT Code Guide

Oral & Maxillofacial Surgery/Reduction of Dislocation and Management of Other Temporomandibular Joint Dysfunctions

Overview

CDT code D7854 refers to the synovectomy procedure, which involves the excision of a portion or all of the synovial membrane of a joint. This procedure is primarily used in the management of temporomandibular joint (TMJ) dysfunctions, where inflammation or damage to the synovial membrane contributes to pain and restricted movement. Synovectomy can help alleviate symptoms by removing inflamed or diseased tissue, thus improving joint function and reducing discomfort.

In clinical practice, synovectomy is considered when conservative treatments for TMJ disorders, such as medication or physical therapy, have not provided sufficient relief. It may also be indicated in cases of chronic synovitis, where persistent inflammation of the synovial membrane is present. This surgical intervention aims to restore normal joint function and enhance the patient's quality of life.

When to Use This Code

Chronic synovitis of the temporomandibular joint
Persistent TMJ pain unresponsive to conservative treatment
Inflammation of the synovial membrane causing joint dysfunction
Pre-surgical evaluation indicates synovial membrane involvement
Recurrent TMJ dislocation with synovial membrane damage

Documentation Requirements

Detailed patient history and examination findings
Radiographic evidence supporting TMJ dysfunction
Clinical notes on previous treatments and their outcomes
Surgical plan outlining the extent of synovectomy
Post-operative care instructions and follow-up plan
Informed consent documentation

Billing Considerations

When billing for D7854, ensure that the procedure is medically necessary and well-documented in the patient's records. Frequency limitations may apply depending on the patient's insurance plan. Common modifiers, such as -22 for increased procedural services, may be used if applicable. Verify with the patient's insurance provider for coverage specifics and pre-authorization requirements.

Related CDT Codes

D7810 D7820 D7830 D7840 D7860

Frequently Asked Questions

The primary purpose of a synovectomy is to remove inflamed or diseased synovial tissue to alleviate pain and improve joint function in patients with TMJ disorders.

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