American Dental Association Current Dental Terminology

D7000-D7999 Oral and Maxillofacial Surgery

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‍Extractions (include local anesthesia, suturing, if needed, and routine postoperative care)

• D7111 extraction, coronal remnants - deciduous tooth Removal of soft tissue-retained coronal remnants.
• D7140 extraction, erupted tooth or exposed root (elevation and/or forceps removal) Includes routine removal of tooth structure, minor smoothing of socket bone, and closure, as necessary.

‍Surgical extractions (includes local anesthesia, suturing, if needed, and routine postoperative care)

• D7210 surgical removal of erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or section of tooth Includes cutting of gingiva and bone, removal of tooth structure, minor smoothing of socket bone and closure.
• D7220 removal of impacted tooth - soft tissue Occlusal surface of tooth covered by soft tissue; requires mucoperiosteal flap elevation.
• D7230 removal of impacted tooth - partially bony Part of crown covered by bone; requires mucoperiosteal flap elevation and bone removal.
• D7240 removal of impacted tooth - completely bony Most or all of crown covered by bone; requires mucoperiosteal flap elevation and bone removal.
• D7241 removal of impacted tooth - completely bony, with unusual surgical complications Most or all of crown covered by bone; unusually difficult or complicated due to factors such as nerve dissection required, separate closure of maxillary sinus required or aberrant tooth position.
• D7250 surgical removal of residual tooth roots (cutting procedure) Includes cutting of soft tissue and bone, removal of tooth structure, and closure.

‍Other surgical procedures

• D7260 oroantral fistula closure Excision of fistulous tract between maxillary sinus and oral cavity and closure by advancement flap.
• D7261 primary closure of a sinus perforation Subsequent to surgical removal of tooth, exposure of sinus requiring repair, or immediate closure of oroantral or oralnasal communication in absence of fistulus tract.
• D7270 tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth Includes splinting and/or stabilization.
• D7272 tooth transplantation (includes reimplantation from one site to another and splinting and/or stabilization)
• D7280 surgical access of an unerupted tooth An incision is made and the tissue is reflected and bone removed as necessary to expose the crown of an impacted tooth not intended to be extracted.
• D7282 mobilization of erupted or malpositioned tooth to aid eruption To move/luxate teeth to eliminate ankyolosis; not in conjunction with an extraction.
• D7283 placement of device to facilitate eruption of impacted tooth Placement of an orthodontic bracket, band or other device on an unerupted tooth, after its exposure, to aid in its eruption. Report the surgical exposure separately using D7280.
• D7285 biopsy of oral tissue - hard (bone, tooth) For removal of specimen only. This code involves biopsy of osseous lesions and is not used for apicoectomy/periradicular surgery.
• D7286 biopsy of oral tissue - soft For surgical removal of an architecturally intact specimen only. This code is not used at the same time as codes for apicoectomy/periradicular curettage.
• D7287 exfoliative cytological sample collection For collection of non-transepithelial cytology sample via mild scraping of the oral mucosa.
• D7288 brush biopsy - transepithelial sample collection For collection of oral disaggregated transepithelial cells via rotational brushing of the oral mucosa.
• D7290 surgical reposition of teeth Grafting procedure(s) is/are additional.
• D7291 transseptal fiberotomy/supra crestal fiberotomy, by report The supraosseous connective tissue attachment is surgically severed around the involved teeth. Where there are adjacent teeth, the transseptal fiberotomy of a single tooth will involve a minimum of three teeth. Since the incisions are within the gingival sulcus and tissue and the root surface is not instrumented, this procedure heals by the reunion of connective tissue with the root surface on which viable periodontal tissue is present (reattachment).

‍Alveoloplasty - surgical preparation of ridge for dentures

• D7310 alveoloplasty in conjunction with extractions - per quadrant Usually in preparation for a prosthesis.
• D7311 alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces, per quadrant. The alveoloplasty is distinct (separate procedure) from extractions and/or surgical extractions.
• D7320 alveoloplasty not in conjunction with extractions - per quadrant No extractions performed in an edentulous area. See D7310 if teeth are being extracted concurrently with the alveoloplasty.
• D7321 alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, per quadrant

​Vestibuloplasty Any of a series of surgical procedures designed to increase relative alveolar ridge height.

• D7340 vestibuloplasty - ridge extension (secondary epithelialization)
• D7350 vestibuloplasty - ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue)

‍Surgical excision of soft tissue lesions Includes non-odontogenic cysts

• D7410 excision of benign lesion up to 1.25 cm
• D7411 excision of benign lesion greater than 1.25 cm
• D7412 excision of benign lesion, complicated Requires extensive undermining with advancement or rotational flap closure.
• D7413 excision of malignant lesion up to 1.25 cm
• D7414 excision of malignant lesion greater than 1.25 cm
• D7415 excision of malignant lesion, complicated Requires extensive undermining with advancement or rotational flap closure. D7465 destruction of lesion(s) by physical or chemical method, by report Examples include using cryo, laser or electro surgery. Surgical excision of intra-osseous lesions
• D7440 excision of malignant tumor - lesion diameter up to 1.25 cm D7441 excision of malignant tumor - lesion diameter greater than 1.25 cm
• D7450 removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm
• D7451 removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm
• D7460 removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm
• D7461 removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 cm

‍Excision of bone tissue

• D7471 removal of lateral exostosis (maxilla or mandible)
• D7472 removal of torus palatinus
• D7473 removal of torus mandibularis
• D7485 surgical reduction of osseous tuberosity
• D7490 radical resection of maxilla or mandible Partial resection of maxilla or mandible; removal of lesion and defect with margin of normal appearing bone. Reconstruction and bone grafts should be reported separately.

‍Surgical incision

• D7510 incision and drainage of abscess - intraoral soft tissue Involves incision through mucosa, including periodontal origins.
• D7511 incision and drainage of abscess - intraoral soft tissue - complicated (includes drainage of multiple fascial spaces) Incision is made intraorally and dissection is extended into adjacent fascial space(s) to provide adequate drainage of abscess/cellulitis.
• D7520 incision and drainage of abscess - extraoral soft tissue Involves incision through skin.
• D7521 incision and drainage of abscess - extraoral soft tissue - complicated (includes drainage of multiple fascial spaces) Incision is made extraorally and dissection is extended into adjacent fascial space(s) to provide adequate drainage of abscess/cellulitis.
• D7530 removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue
• D7540 removal of reaction producing foreign bodies, musculoskeletal system May include, but is not limited to, removal of splinters, pieces of wire, etc., from muscle and/or bone.
• D7550 partial ostectomy/sequestrectomy for removal of non-vital bone Removal of loose or sloughed-off dead bone caused by infection or reduced blood supply. D7560 maxillary sinusotomy for removal of tooth fragment or foreign body

‍Treatment of fractures -simple

• D7610 maxilla - open reduction (teeth immobilized, if present) Teeth may be wired, banded or splinted together to prevent movement. Surgical incision required for interosseous fixation.
• D7620 maxilla - closed reduction (teeth immobilized, if present) No incision required to reduce fracture. See D7610 if interosseous fixation is applied.
• D7630 mandible - open reduction (teeth immobilized, if present) Teeth may be wired, banded or splinted together to prevent movement. Surgical incision required to reduce fracture.
• D7640 mandible - closed reduction (teeth immobilized, if present) No incision required to reduce fracture. See D7630 if interosseous fixation is applied.
• D7650 malar and/or zygomatic arch - open reduction
• D7660 malar and/or zygomatic arch - closed reduction
• D7670 alveolus - closed reduction, may include stabilization of teeth Teeth may be wired, banded or splinted together to prevent movement.
• D7671 alveolus - open reduction, may include stabilization of teeth Teeth may be wired, banded or splinted together to prevent movement.
• D7680 facial bones - complicated reduction with fixation and multiple surgical approaches Facial bones include upper and lower jaw, cheek, and bones around eyes, nose, and ears.

‍Treatment of fractures - compound

• D7710 maxilla - open reduction Surgical incision required to reduce fracture.
• D7720 maxilla - closed reduction
• D7730 mandible - open reduction Surgical incision required to reduce fracture.
• D7740 mandible - closed reduction
• D7750 malar and/or zygomatic arch - open reduction Surgical incision required to reduce fracture.
• D7760 malar and/or zygomatic arch - closed reduction Section 9 / Part 29 D7770 alveolus - open reduction stabilization of teeth Fractured bone(s) are exposed to mouth or outside the face. Surgical incision required to reduce fracture.
• D7771 alveolus - closed reduction stabilization of teeth Fractured bone(s) are exposed to mouth or outside the face.
• D7780 facial bones - complicated reduction with fixation and multiple surgical approaches Surgical incision required to reduce fracture. Facial bones include upper and lower jaws, cheek, and bones around eyes, nose, and ears.

‍Reduction of dislocation and management of other temporomandibular joint dysfunctions Procedures that are an integral part of a primary procedure should not be reported separately.

• D7810 open reduction of dislocation Access to TMJ via surgical opening.
• D7820 closed reduction of dislocation Joint manipulated into place; no surgical exposure.
• D7830 manipulation under anesthesia Usually done under general anesthesia or intravenous sedation. D7840 condylectomy Surgical removal of all or portion of the mandibular condyle (separate procedure).
• D7850 surgical discectomy, with/without implant Excision of the intra-articular disc of a joint.
• D7852 disc repair Repositioning and/or sculpting of disc; repair of perforated posterior attachment. D7854 synovectomy Excision of a portion or all of the synovial membrane of a joint.
• D7856 myotomy Cutting of muscle for therapeutic purposes (separate procedure).
• D7858 joint reconstruction Reconstruction of osseous components including or excluding soft tissues of the joint with autogenous, homologous, or alloplastic materials.
• D7860 arthrotomy Cutting into joint (separate procedure).
• D7865 arthroplasty Reduction of osseous components of the joint to create a pseudoarthrosis or eliminate an irregular remodeling pattern (osteophytes).
• D7870 arthrocentesis Withdrawal of fluid from a joint space by aspiration.
• D7871 non-arthroscopic lysis and lavage Inflow and outflow catheters are placed into the joint space. The joint is lavaged and manipulated as indicated in an effort to release minor adhesions and synovial vacuum phenomenon as well as to remove inflammation products from the joint space.
• D7872 arthroscopy - diagnosis, with or without biopsy
• D7873 arthroscopy - surgical: lavage and lysis of adhesions Removal of adhesions using the arthroscope and lavage of the joint cavities.
• D7874 arthroscopy - surgical: disc repositioning and stabilization Repositioning and stabilization of disc using arthroscopic techniques.
• D7875 arthroscopy - surgical: synovectomy Removal of inflamed and hyperplastic synovium (partial/complete) via an arthroscopic technique.
• D7876 arthroscopy - surgical: discectomy Removal of disc and remodeled posterior attachment via the arthroscope.
• D7877 arthroscopy - surgical: debridement Removal of pathological hard and/or soft tissue using the arthroscope.
• D7880 occlusal orthotic device, by report Presently includes splints provided for treatment of temporomandibular joint dysfunction.
• D7899 unspecified TMD therapy, by report Used for procedure that is not adequately described by a code. Describe procedure.

‍Repair of traumatic wounds Excludes closure of surgical incisions

• D7910 suture of recent small wounds up to 5 cm Section 9 / Part 29 Complicated suturing (reconstruction requiring delicate handling of tissues and wide undermining for meticulous closure) Excludes closure of surgical incisions
• D7911 complicated suture - up to 5 cm
• D7912 complicated suture - greater than 5 cm Other repair procedures
• D7920 skin graft (identify defect covered, location and type of graft)
• D7940 osteoplasty - for orthognathic deformities Reconstruction of jaws for correction of congenital, developmental or acquired traumatic or surgical deformity.
• D7941 osteotomy - mandibular rami
• D7943 osteotomy - mandibular rami with bone graft; includes obtaining the graft
• D7944 osteotomy - segmented or subapical - per sextant or quadrant D7945 osteotomy - body of mandible Surgical section of lower jaw. This includes the surgical exposure, bone cut, fixation, routine wound closure and normal post-operative follow-up care. D7946 LeFort I (maxilla - total) Surgical section of the upper jaw. This includes the surgical exposure, bones cuts, downfracture, repositioning, fixation, routine wound closure and normal post-operative follow-up care.
• D7947 LeFort I (maxilla - segmented) When reporting a surgically assisted palatal expansion without downfracture, this code would entail a reduced service and should be “by report.”
• D7948 LeFort II or LeFort III (osteoplasty of facial bones for midface hypoplasia or retrusion) - without bone graft Surgical section of upper jaw. This includes the surgical exposure, bone cuts, downfracture, segmentation of maxilla, repositioning, fixation, routine wound closure and normal post-operative follow-up care.
• D7949 LeFort II or LeFort III - with bone graft Includes obtaining autografts.
• D7950 osseous, osteoperiosteal, or cartilage graft of the mandible or facial bones - autogenous or nonautogenous, by report This code may be used for sinus lift procedure and/or for ridge augmentation. It includes obtaining autograft and/or allograft material. Placement of a barrier membrane, if used, should be reported separately.
• D7953 bone replacement graft for ridge preservation - per site Osseous autograft, allograft or non-osseous graft is placed in an extraction site to preserve ridge integrity (e.g., clinically indicated in preparation for implant reconstruction or where alveolar contour is critical to planned prosthetic reconstruction). Membrane, if used should be reported separately.
• D7955 repair of maxillofacial soft and/or hard tissue defect Reconstruction of surgical, traumatic, or congenital defects of the facial bones, including the mandible, may utilize autograft, allograft, or alloplastic materials in conjunction with soft tissue procedures to repair and restore the facial bones to form and function. This does not include obtaining the graft and these procedures may require multiple surgical approaches.
• D7960 frenulectomy (frenectomy or frenotomy) - separate procedure The frenum may be excised when the tongue has limited mobility; for large diastemas between teeth; or when the frenum interferes with a prosthetic appliance; or when it is the etiology of periodontal tissue disease.
• D7963 frenuloplasty Excision of frenum with accompanying excision or repositioning of aberrant muscle and z-plasty or other local flap closure.
• D7970 excision of hyperplastic tissue - per arch
• D7971 excision of pericoronal gingiva Surgical removal of inflammatory or hypertrophied tissues surrounding partially erupted/impacted teeth.
• D7972 surgical reduction of fibrous tuberosity
• D7980 sialolithotomy Surgical procedure by which a stone within a salivary gland or its duct is removed, either intraorally or extraorally.
• D7981 excision of salivary gland, by report ​
• D7982 sialodochoplasty Surgical procedure for the repair of a defect and/or restoration of a portion of a salivary gland duct.
• D7983 closure of salivary fistula Surgical closure of an opening between a salivary duct and/or gland and the cutaneous surface, or an opening into the oral cavity through other than the normal anatomic pathway.
• D7990 emergency tracheotomy Surgical formation of a tracheal opening usually below the cricoid cartilage to allow for respiratory exchange.
• D7991 coronoidectomy Surgical removal of the coronoid process of the mandible.
• D7995 synthetic graft - mandible or facial bones, by report includes allogenic material.
• D7996 implant - mandible for augmentation purposes (excluding alveolar ridge), by report
• D7997 appliance removal (not by dentist who placed appliance), includes removal of archbar
• D7999 unspecified oral surgery procedure, by report Used for procedure that is not adequately described by a code. Describe procedure.

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