When is D7680 used?
The D7680 dental code applies to the surgical extraction of foreign objects from facial bone structures. This CDT code is typically utilized when patients have non-biological materials lodged in the maxilla, mandible, or other facial bones, usually following trauma or accidents. Dental professionals should apply D7680 exclusively for surgical procedures that remove foreign materials (like metal fragments, glass pieces, or dental components) from facial bone tissue. This code is not suitable for soft tissue extractions or standard tooth removals—always verify clinical appropriateness before code assignment.
D7680 Charting and Clinical Use
Proper documentation ensures successful claim processing and regulatory compliance. When using D7680, the patient record must contain:
A comprehensive clinical description detailing the foreign object, its position, and how it became embedded.
Radiographic evidence (including panoramic films or CBCT imaging) clearly showing the foreign material within facial bone structures.
Complete surgical documentation describing the technique, anesthetic protocol, and any procedural complications.
Post-surgical care instructions and follow-up treatment plans.
Typical clinical applications for D7680 include extracting fractured dental tools, embedded root fragments, or foreign substances accidentally placed during dental treatment or injury incidents.
Billing and Insurance Considerations
Processing D7680 claims demands close attention to carrier requirements and documentation protocols. Follow these guidelines for optimal claim approval:
Prior approval: Confirm whether the patient's dental or medical coverage mandates pre-approval for surgical interventions involving facial bones.
Include supporting materials: Submit radiographic images and detailed clinical documentation with claims. This establishes treatment necessity and minimizes denial risk.
Consider dual billing: When medically indicated, evaluate submitting claims to both dental and medical insurance using corresponding CPT codes alongside dental claims.
Monitor claim responses: Examine benefit statements carefully for payment accuracy and prepare to contest denied claims with supplementary documentation.
Maintain current knowledge of carrier-specific policies, as insurance companies may establish distinct criteria for surgical procedures like D7680.
How dental practices use D7680
A patient visits your office following a cycling injury, reporting lower jaw discomfort. X-ray analysis shows a metallic piece embedded within the mandibular bone. The oral surgeon surgically extracts the fragment using local anesthesia, maintains thorough records, and files a D7680 claim. Documentation includes before-and-after radiographs, comprehensive procedure notes, and surgical records. The insurance company processes the claim successfully after examining the complete documentation package, ensuring timely payment to the practice.
For procedures involving soft tissue foreign body removal, consult the relevant CDT code for soft tissue procedures.
Common Questions
Is CDT code D7680 applicable to closed reduction procedures?
No, D7680 is designated exclusively for open reduction of facial bone fractures. Closed reduction treatments require different CDT coding, since D7680 applies only when the surgical technique involves direct visualization and manipulation of fractures through an open surgical incision.
Is it possible to bill D7680 together with other surgical procedure codes?
D7680 can be billed with additional surgical codes when multiple separate procedures are completed within the same surgical session. However, documentation must clearly demonstrate the medical necessity and distinct nature of each procedure to prevent claim denials due to unbundling issues. Always verify payer-specific bundling guidelines and modifier requirements.
What are typical causes for D7680 claim denials?
Typical denial reasons include inadequate documentation, absence of radiographic evidence, incomplete accident information, or failure to confirm medical versus dental insurance coverage. Ensuring thorough and precise submission of clinical documentation, imaging studies, and detailed narratives can help minimize denial risks.