Is D7971 covered by insurance?

Coverage for D7971 varies by insurance plan. It's important to check with the patient's provider for specific coverage details and any required pre-authorizations.

Can D7971 be performed in a general dental practice?

While it can be performed in a general dental practice, it is often carried out by an oral surgeon or a dentist with specialized training in oral surgery.

What are the post-operative care instructions following D7971?

Post-operative care typically includes maintaining oral hygiene, managing pain with prescribed medications, and following up with the dentist or oral surgeon for evaluation.

How long does recovery take after the excision of pericoronal gingiva?

Recovery time can vary, but most patients experience significant healing within one to two weeks, depending on the extent of the procedure and individual healing rates.

D7971

Excision Pericoronal Gingiva - CDT Code Guide

Oral & Maxillofacial Surgery/Other Repair Procedures

Overview

CDT code D7971 refers to the excision of pericoronal gingiva, a procedure that involves the removal of inflamed or hypertrophied gum tissue surrounding partially erupted or impacted teeth. This is often necessary when such tissues cause discomfort, infection, or impede the eruption of teeth. Typically, this procedure is performed by an oral surgeon or a dentist with specialized training in oral surgery. It is commonly indicated in cases where the gingival tissue becomes swollen or infected, often seen with wisdom teeth that are partially erupted. The procedure helps in alleviating pain, preventing further infection, and facilitating the proper eruption of the affected tooth.

When to Use This Code

Presence of inflamed gingival tissue around a partially erupted wisdom tooth.
Hypertrophied gingiva causing discomfort or infection.
Gingival tissue impeding the eruption of a tooth.
Pre-surgical preparation for orthodontic treatment.
Management of pericoronitis with recurrent symptoms.

Documentation Requirements

Detailed patient history and clinical examination notes.
Radiographic evidence supporting the need for tissue removal.
Pre-operative and post-operative photographs, if applicable.
Written consent from the patient acknowledging the procedure.
Comprehensive treatment plan outlining the necessity of the procedure.

Billing Considerations

When billing for D7971, ensure that the procedure is not performed more frequently than necessary, as insurance companies may have frequency limitations. Common modifiers may include those indicating bilateral procedures or additional complexity. Verify with the patient's insurance provider for coverage details, as some plans may require prior authorization or have specific criteria for coverage.

Related CDT Codes

D0150 D0180 D7210 D7220 D7230

Frequently Asked Questions

The primary reason is to remove inflamed or hypertrophied gingival tissue around partially erupted or impacted teeth to alleviate pain and prevent infection.

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