Craniofacial Implant Placement - CDT Code Guide
Overview
CDT code D7993 refers to the surgical placement of a craniofacial implant, which is primarily used to support and retain prosthetic devices such as auricular, nasal, or orbital prostheses. This procedure is typically performed by an oral and maxillofacial surgeon and involves the precise placement of an implant in the craniofacial region to ensure stability and functionality of the prosthesis. The procedure is crucial for patients who have experienced trauma, congenital defects, or surgical resections that necessitate prosthetic rehabilitation. Clinicians must assess the patient's specific anatomical needs and plan the implant placement accordingly to achieve optimal outcomes.
When to Use This Code
- Patients requiring retention for an auricular prosthesis due to congenital defects.
- Individuals needing a nasal prosthesis following surgical resection of nasal structures.
- Cases where an orbital prosthesis is necessary after trauma or tumor removal.
- Patients with craniofacial anomalies that affect the retention of facial prostheses.
- Scenarios involving reconstruction after maxillofacial surgery.
Documentation Requirements
- Detailed surgical report outlining the procedure and implant placement.
- Pre-operative and post-operative imaging to document the implant site.
- Patient's medical history and indication for the craniofacial implant.
- Consent forms signed by the patient for the surgical procedure.
- Detailed notes on the type and size of the implant used.
Billing Considerations
When billing for D7993, it's important to note that this code may be subject to specific frequency limitations based on the patient's insurance plan. Common modifiers such as -22 for increased procedural services may apply if the surgery is particularly complex. Insurance providers may require pre-authorization due to the specialized nature of the procedure, and documentation must be thorough to support the medical necessity of the implant.
Related CDT Codes
Frequently Asked Questions
The primary purpose is to provide stable retention for facial prostheses, enhancing both function and aesthetics for patients with craniofacial defects.
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