21140 Closed treatment of reimplantation. mandibular or maxillary and/or stabilization. alveolar ridge fracture of accidentally

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1 Medical in Nature Oral Surgery CDT Code Description (CDT code) CPT Code Description (CPT Code) D7270 Tooth Closed treatment of reimplantation mandibular or maxillary and/or stabilization alveolar ridge fracture of accidentally (separate procedure) evulsed or displaced tooth Requires Precert / Review by OMFS PM D7285 Biopsy of oral tissue (hard) Biopsy, muscle; superficial Biopsy, bone, excisional; superficial Biopsy, bone, excisional; deep D7286 Biopsy of oral tissue (soft) Biopsy, muscle; superficial Biopsy, muscle; deep Biopsy of lip Biopsy, vestibule of mouth Biopsy of tongue, anterior two-thirds Biopsy of tongue, Posterior one-third Biopsy floor of mouth Biopsy of palate, uvula Biopsy of oropharynx D7287 Cytology sample collection Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation D7288 (Added x/x/2005) Brush biopsy - transepithelial sample collection Cytopathology, selective cellular enhancement technique with interpretation (e.g. Liquid based slide preparation method), except cervical or vaginal D7295 Harvest of bone for use in autogenous grafting procedures 21215, includes obtaining the graft, in which

2 D7410 D7411 D7412 D7413 D7414 D7415 Excision of benign lesion up to 1.25 cm Excision of benign lesion greater than 1.25 cm Excision of benign lesion, complicated Excision of malignant lesion up to 1.25 cm Excision of malignant lesion greater than 1.25 cm Excision of malignant lesion, complicated case this code would not be covered bone graft any donor area minor or small, bone graft any donor area, major or large Radical resection of tumor (e.g., malignant neoplasm); soft tissue of face or scalp Excision of benign tumor or cyst of maxilla or zygoma by enucleation and Excision of benign tumor or cyst of mandible, by enucleation and Excision of lesion or structures, with complex repair Excision of malignant tumor of maxilla or zygoma Excision of malignant tumor of mandible Excision of malignant tumor of maxilla or zygoma Excision of malignant tumor of mandible Excision of malignant tumor of maxilla or zygoma Excision of malignant tumor of mandible Excision of malignant tumor of mandible; radical resection D7420 (code Radical excision - lesion diameter Radical resection of tumor (e.g., malignant

3 deleted 2003) D7430 (code deleted 2003) over 1.25 cm Excision of benign tumor - lesion diameter up to 1.25 cm. neoplasm); soft tissue Excision of benign tumor or cyst of maxilla or zygoma by enucleation and Excision, lesion of floor of mouth Excision of lesion or tumor dentoalveolar structures; without repair Excision of lesion or tumor dentoalveolar structures; with simple repair Excision of lesion or tumor dentoalveolar structures; with complex repair Excision, lesion of palate, uvula; without closure Excision, lesion of palate, uvula; with primary closure D7431 (code deleted 2003) D7440 Excision of benign tumor lesion diameter over 1.25 cm. Excision of malignant tumor lesion diameter up to 1.25 cm Excision of benign cyst or tumor of mandible, by enucleation and/or Excision of benign cyst or tumor of mandible; complex Excision, lesion of palate, uvula; without closure Excision, lesion of palate, uvula; with local flap closure Excision of malignant tumor of maxilla or zygoma Excision of malignant tumor of mandible;

4 21045 Excision of malignant tumor of mandible; radical resection D7441 Excision of malignant tumor lesion diameter over 1.25 cm Excision of malignant tumor of maxilla or zygoma Excision of malignant tumor of mandible; Excision of malignant tumor of mandible; radical resection D7450 Removal of benign odontogenic cyst or tumor; lesion diameter up to 1.25 cm Excision of benign tumor or cyst of maxilla or zygoma by enucleation and Excision of benign cyst or tumor of mandible, by enucleation and/or Review when submitted in conjunction with removal of impacted teeth Excision of lesion or structures; without repair Excision of lesion or structures; with simple repair Excision of lesion or structures; with complex repair D7451 Removal of benign odontogenic cyst or tumor; lesion diameter greater than 1.25 cm Excision of benign tumor or cyst of maxilla or zygoma by enucleation and Excision of benign cyst or tumor of mandible, by enucleation and/or Review when submitted in conjunction with removal of impacted teeth

5 D7460 Removal of benign non-odontogenic cyst or tumor; lesion diameter up to 1.25 cm Excision of lesion or structures; without repair Excision of lesion or structures; with simple repair Excision of lesion or structures; with complex repair Excision of benign tumor or cyst of maxilla or zygoma by enucleation and Excision of benign cyst or tumor of mandible, by enucleation and/or D7461 Removal of benign non-odontogenic cyst or tumor; lesion diameter greater than 1.25 cm Excision of lesion or structures; without repair Excision of lesion or structures; with simple repair Excision of lesion or structures; with complex repair Excision of benign tumor or cyst of maxilla or zygoma by enucleation and Excision of benign cyst or tumor of mandible, by enucleation and/or Excision of lesion or structures; without repair Excision of lesion or structures; with simple repair

6 41827 Excision of lesion or structures; with complex repair D7465 Destruction of lesion(s) by physical or chemical methods by report Destruction of lesion or scar of vestibule of mouth by physical methods Destruction of lesion; dentoalveolar structures Destruction of lesion, palate or uvula D7480 (code deleted 2003) Partial ostectomy (guttering or saucerization) Excision of bone, mandible (e.g., for osteomyelitis or bone abscess) Excision of bone, facial bones D7490 Radical resection of mandible with bone graft Excision of malignant tumor of mandible, radical resection Graft, bone; mandible D7510 Incision and drainage of abscess intraoral soft tissue Incision of soft tissue abscess (e.g., secondary to osteomyelitis); superficial Drainage of abscess, cyst hematoma, vestibule of mouth; simple Intraoral incision and drainage of abscess, cyst or hematoma of tongue or floor of mouth; lingual

7 41005 Intraoral incision and drainage of abscess, cyst or hematoma of tongue or floor of mouth; sublingual, superficial Intraoral incision and drainage of abscess, cyst or hematoma of tongue or floor of mouth; submental space Intraoral incision and drainage of abscess, cyst or hematoma of tongue or floor of mouth; submandibular space Intraoral incision and drainage of abscess, cyst or hematoma of tongue or floor of mouth; masticator space Drainage of abscess, cyst, hematoma from dentoalveolar structures Drainage of abscess of palate, uvula Drainage of abscess; submaxillary or sublingual, intraoral D7511 (Added x/x/2005) Incision and drainage of abscess intraoral soft tissue complicated (includes drainage of multiple fascial spaces) Incision of soft tissue abscess (secondary to osteomyelitis); deep or complicated Drainage of abscess, cyst hematoma, vestibule of mouth; complicated Intraoral incision and drainage of abscess, cyst or hematoma of tongue or floor of mouth: sublingual, deep,

8 D7520 Incision and drainage of abscess extraoral soft tissue supramylohyoid Incision and drainage, complex, postoperative wound infection Extraoral incision and drainage of abscess, cyst or hematoma of floor of mouth; sublingual Extraoral incision and drainage of abscess, cyst or hematoma of floor of mouth; submental Extraoral incision and drainage of abscess, cyst or hematoma of floor of mouth; submandibular Extraoral incision and drainage of abscess, cyst or hematoma of floor of mouth; masticator space Drainage of abscess; parotis, simple D7521 (Added x/x/2005) Incision and drainage of abscess extraoral soft tissue complicated (includes drainage of multiple fascial spaces) Drainage of abscess; submaxillary external Drainage of abscess; parotid, parotid, complicated

9 D7530 Removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue Removal of implant; superficial (e.g., buried wire, pin, or rod) Removal of embedded foreign body, vestibule of mouth; simple Removal of embedded foreign body from dentoalveolar structures, soft tissue D7540 Removal of reaction producing foreign bodies, musculoskeletal Removal of implant; deep (e.g., buried wire, pin, or rod) Removal of embedded foreign body, vestibule of mouth; simple Removal of embedded foreign body from dentoalveolar structures; bone D7550 Partial ostectomy/ sequestrectomy for removal of non-vital bone Excision of bone, mandible (e.g., for osteomyelitis or bone abscess) Added 09/28/ Alveolectomy, including of osteitis or sequestrectomy

10 D7560 Maxillary sinusotomy for removal of tooth fragment or foreign body Sinusotomy, maxillary (antrotomy); intranasal Radical (Caldwell-Luc) without removal of antrochoanal polyps D7610 D7620 D7630 D7640 Maxilla, simple fracture, open reduction, teeth immobilized (if present) Maxilla, simple fracture, closed reduction, teeth immobilized (if present Mandible, simple fracture, open reduction, teeth immobilized (if present) Mandible, simple fracture, closed reduction, teeth immobilized (if present) Open treatment of mandibular or maxillary alveolar ridge fracture Closed treatment of mandibular or maxillary alveolar ridge fracture Open treatment of mandibular fracture: with interdental fixation Closed treatment of mandibular fracture; without manipulation Closed treatment of mandibular fracture; with manipulation Closed treatment of mandibular fracture; with interdental fixation D7650 Malar and/or zygomatic arch, simple fracture, open reduction Open treatment of depressed zygomatic fracture (e.g., Gillies approach)

11 21360 Open treatment of depressed malar fracture, including zygomatic arch and malar tripod D7660 Malar and/or zygomatic arch, simple fracture, closed reduction Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation D7670 Fracture simple - Alveolus closed reduction, may include stabilization of teeth D7671 Fracture simple - Alveolus open reduction, may include stabilization of teeth Closed treatment of mandibular or maxillary alveolar ridge fracture Open treatment of mandibular or maxillary alveolar ridge fracture D7680 Facial bones, simple fracture, complicated reduction with fixation and multiple surgical approaches Open treatment of craniofacial separation (LeForte III type); with wiring and/or internal fixation Open treatment of craniofacial separation (LeForte III type) complicated (e.g., comminuted or involving cranial nerve foramina), multiple surgical approaches Open treatment of craniofacial separation (LeForte III type) complicated, utilizing internal and/or external fixation techniques (e.g., head cap, halo device, and/or intermaxillary fixation)

12 D7710 Maxilla, compound fracture, open reduction Open treatment of palatal or maxillary fracture (Leforte 1 type) D7720 D7730 Maxilla, compound fracture, closed reduction Mandible, compound fracture, open reduction Open treatment of palatal or maxillary fracture (Leforte 1 type) complicated (comminuted), multiple approaches Closed treatment of palatal or maxillary fracture (Leforte 1 type), with interdental wire fixation or fixation of denture or splint Open treatment of mandibular fracture; without interdental fixation Open treatment of mandibular fracture; with interdental fixation Open treatment of mandibular condylar fracture D7740 D7750 Mandible, compound fracture, closed reduction Malar and/or zygomatic arch, compound fracture, open reduction Closed treatment of mandibular fracture with interdental fixation Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Open treatment of complicated fracture(s) of malar area, etc Open treatment of complicated fracture(s) of malar area, etc. with bone grafting (includes obtaining graft)

13 D7760 Malar and/or zygomatic arch, compound fracture, closed reduction Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation D7770 Fracture compound - Alveolus - open reduction stabilization of teeth D7771 Fracture compound - Alveolus closed reduction stabilization of teeth Open treatment of mandibular or maxillary alveolar ridge fracture Closed treatment of mandibular or maxillary alveolar ridge fracture D7780 Facial bones, compound fracture, complicated reduction with fixation and multiple surgical approaches Open treatment of nasomaxillary complex fracture (Leforte II); with wiring and/or local fixation Open treatment of nasomaxillary complex fracture (Leforte II); requiring multiple open approaches Open treatment of nasomaxillary complex fracture (Leforte II); with bone grafting D7810 Open reduction of dislocation Open treatment of temporomandibular dislocation D7820 Closed reduction of dislocation Closed treatment of temporomandibular dislocation; initial or subsequent D7830 Manipulation under anesthesia Closed treatment of TMJ dislocation complicated D7840 Condylectomy (non-ortho related) Condylectomy, temporomandibular joint

14 D7850 Meniscectomy (non-ortho related) Meniscectomy, partial or complete, temporomandibular joint D7852 Disc repair Arthroplasty, with or without autograft D7854 Synovectomy Arthroplasty, with or without autograft D7856 Myotomy Arthroplasty, with or without autograft D7858 Joint reconstruction Arthroplasty, temporomandibular joint, with allograft Arthroplasty, temporomandibular joint, with prosthetic joint replacement Reconstruction of mandibular condyle with bone and cartilage autografts D7860 Arthrotomy Arthrotomy, temporomandibular joint D7865 Arthroplasty Arthroplasty, with or without autograft D7870 Arthrocentesis Arthrocentesis--- intermediate joint, bursa or ganglion (e.g., etc.) D7871 Non-arthroscopic Arthrocentesis---

15 lysis and lavage D7872 Arthroscopy diagnosis, with or without biopsy D7873 Arthroscopy surgical: lysis and lavage of adhesions D7874 Arthroscopy surgical: disc repositioning and stabilization D7875 Arthroscopy surgical: synovectomy D7876 Arthroscopy surgical: discectomy D7877 Arthroscopy surgical: debridement intermediate joint, bursa or ganglion (e.g., etc.) Arthroscopy, diagnostic Arthroscopy, surgical Arthroscopy, surgical Arthroscopy, surgical Arthroscopy, surgical Arthroscopy, surgical D7910 Suture of recent small wounds up to 5 cm Simple repair of superficial wounds of face, ears, eyelids, nose, lips, and/or mucous membranes 2.5 cm or less Simple repair of superficial wounds of face, ears, eyelids, nose, lips, and/or mucous membranes cm Closure of laceration, vestibule of mouth, 2.5 cm or less Repair of laceration 2.5.cm or less; floor of mouth and/or anterior 2/3 of tongue

16 41251 Repair of laceration 2.5.cm or less; floor of mouth and/or posterior 1/3 of tongue Repair, laceration of palate, up to 2 cm D7911 Complicated sutures - up to 5 cm Layer closure of wounds of face, etc; 2.5 cm or less Layer closure of wounds of face, ears, etc. 2.6 cm to 5.0 cm Closure of laceration, vestibule of mouth, over 2.5 cm or complex Repair, laceration of palate, over 2 cm or complex D7912 Complicated sutures greater than 5 cm Layer closure of wounds of face, ears, etc. 5.1 cm to 7.5 cm Layer closure of wounds of face, ears, etc cm to 12.5 cm Layer closure of wounds of face, ears, etc cm to 20.0 cm Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex D7920 Skin graft (identify defect covered, location and type of graft) Application of allograft, skin, 100 sq. cm or less

17 D7940 Osteoplasty for orthognathic deformities (nonortho related) Osteoplasty, facial bones, augmentation (autograft, allograft or prosthetic implant) Osteoplasty, facial bones, reduction D7941 Osteotomy mandibular rami Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy w/o bone graft Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Osteotomy, mandible, segmental; with genioglossus advancement D7943 Osteotomy ramus, open with bone graft Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy With bone graft (includes obtaining graft)

18 D7944 Osteotomy segmented or subapical, per sextant or quadrant Osteotomy, mandible, segmental Osteotomy, mandible, segmental with genioglossus advancement Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard) D7945 Osteotomy body of mandible Osteotomy, mandible, segmental D7946 Leforte I (maxilla total) Reconstruction midface, Leforte I; single piece, segment moving in any direction w/out bone graft Reconstruction midface, Leforte I; single piece, segment moving in any direction requiring bone grafts

19 D7947 Lefort I (maxilla - segmented) Reconstruction of midface, etc. two pieces, segment moving in any direction, without bone graft D7948 Lefort II or III - without bone graft Reconstruction of midface, etc three or more pieces, segment moving in any direction, without bone graft Reconstruction of midface, etc two pieces, segment moving in any direction, requiring bone grafts (includes obtaining grafts) Reconstruction of midface, etc three or more pieces, segment moving in any direction, requiring bone grafts includes obtaining grafts) Reconstruction midface, Leforte II; anterior intrusion

20 D7949 Lefort II or III - with bone graft Reconstruction midface, Leforte II any direction requiring bone grafts (includes obtaining grafts) Reconstruction midface, Leforte III any type, requiring bone grafts (includes obtaining grafts) Reconstruction midface, Leforte III--- with forehead advancement requiring bone grafts (includes obtaining grafts); without Leforte I D7950 Osseous, osteoperiosteal, or cartilage graft of the mandible or facial bones autogenous or nonautogenous, by report Graft, bone, nasal, maxillary or malar areas (includes obtaining graft) Graft, bone, mandible (includes obtaining graft D7951 Sinus agumentation with bone or bone substitutes via a lateral open approach Graft, bone, nasal, maxillary or molar areas (includes obtaining graft) D7952 Sinus augmentation via a vertical approach Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard) Graft, bone, nasal, maxillary or molar areas (includes obtaining graft)

21 D7955 Repair of maxillofacial soft & hard tissue defects Osteoplasty, facial bones, augmentation (autograft, allograft or prosthetic implant) Malar augmentation, prosthetic material D7980 Sialolithotomy Sialolithotomy, submandibular, sublingual, or parotid, uncomplicated intraoral Sialolithotomy, submandibular, complicated; intraoral Sialolithotomy, parotid, extraoral or complicated intraoral D7981 Excision of salivary gland Excision of parotid tumor or parotid gland; lateral lobe, w/o nerve dissection Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Excision of parotid tumor or parotid gland; total, en block removal with sacrifice of facial nerve Excision of submandibular gland

22 42450 Excision of sublingual gland Parotid duct diversion, bilateral (Wilke type procedure); Parotid duct diversion, bilateral with excision of one submandibular gland Parotid duct diversion, bilateral with excision of both submandibular glands D7982 Sialodochoplasty Plastic repair of salivary duct, sialodochoplasty. Primary or simple Plastic repair of salivary duct, sialodochoplasty. secondary or complicated D7983 D7990 Closure of salivary fistula Emergency tracheotomy Closure of salivary fistula Tracheostomy, emergency procedure; transtracheal Tracheostomy, emergency procedure; cricothyroid membrane D7991 Coronoidectomy Coronoidectomy D7995 Synthetic graft mandible or facial bones, by report Augmentation, mandibular body or angle; prosthetic material D7996 Implant-mandible for augmentation purposes Genioplasty, augmentation (autograft, allograft or prosthetic material)

23 21127 Augmentation, mandibular body or angle, with bone graft, onlay or interpositional D7997 Appliance removal (not by the dentist who placed appl.) Removal of implant, superficial (e.g., buried wire, pin or rod) Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy {e.g., locally aggressive or destructive lesion (s)} (only if billed along with any extraction) Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy {e.g., locally aggressive or destructive lesion (s)} Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy {e.g., locally aggressive or destructive lesion (s)} Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy {e.g., locally aggressive or destructive lesion (s)}