When is D7720 used?
The D7720 dental code applies to alveoloplasty procedures on the maxilla when performed alongside extractions in the same surgical site. This CDT code is utilized when dental professionals reshape and contour the alveolar ridge of the upper jaw during tooth extraction to prepare the area for future prosthetic devices like dentures or partial dentures. Correct application of D7720 guarantees proper documentation and compensation for the additional surgical procedures beyond basic extractions.
D7720 Charting and Clinical Use
Proper documentation is crucial for successful claim processing and insurance coverage. When submitting claims for D7720, dental offices should provide:
Comprehensive clinical records outlining the alveolar ridge condition and the need for bone contouring.
Before and after radiographs or intraoral photographs that demonstrate the maxillary bone structure prior to and following the procedure.
Clear indication that the alveoloplasty was completed alongside extractions, not as an independent procedure (which would require a different code, such as D7310 for alternative situations).
Patient authorization documents and treatment plans explaining the rationale for the alveoloplasty, particularly when future prosthetics are anticipated.
Typical clinical situations for D7720 involve patients with uneven maxillary ridges, pointed bone formations, or significant undercuts that could compromise proper denture fit.
Billing and Insurance Considerations
To optimize reimbursement and reduce claim rejections, implement these strategies:
Check insurance coverage before treatment, ensuring benefits include surgical alveoloplasty performed with extractions.
Provide complete documentation with initial claims, including clinical records, radiographs, and extraction codes (like D7140 for routine extractions).
Apply proper CDT code ordering: Place D7720 following extraction codes on claim forms to demonstrate that alveoloplasty was an additional procedure.
Examine Explanation of Benefits statements quickly. When claims are denied, verify for incomplete documentation or improper code connections, and file appeals with extra supporting materials when needed.
Monitor accounts receivable to maintain timely follow-up on pending claims for surgical procedures like D7720.
How dental practices use D7720
Practice Example: A 67-year-old patient needs removal of several maxillary teeth because of severe periodontal disease. While performing the procedure, the dentist observes irregular bony ridges that could affect future denture retention. The practitioner conducts alveoloplasty (D7720) along with the extractions to create a smooth ridge. The dental staff records the clinical observations, captures pre- and post-procedure radiographs, and files the claim with D7720 positioned after the extraction codes. The insurance company requests extra documentation, which the practice quickly supplies, leading to approved reimbursement for the treatment.
This example demonstrates the significance of detailed documentation, correct code placement, and responsive insurance correspondence when processing claims for D7720.
Common Questions
Does the D7720 dental code apply to lower jaw (mandible) procedures?
No, the D7720 code is exclusively used for alveoloplasty procedures performed on the maxilla (upper jaw). For comparable procedures on the mandible (lower jaw), you should use a different code like D7710.
Is it possible to bill D7720 multiple times when alveoloplasty is done in various maxilla areas during one visit?
The D7720 code is typically billed per arch rather than per individual site. When alveoloplasty is performed on multiple areas within the maxilla in a single session, it's usually reported as one occurrence. Be sure to verify payer guidelines for any exceptions or special documentation requirements.
What are typical causes for insurance rejection of D7720 claims?
Frequent denial reasons include inadequate documentation of medical necessity, missing supporting radiographs or photographs, performing the procedure alongside extractions (which requires a different code), or the procedure not being covered under the patient's insurance plan. Proper documentation and accurate code selection can help minimize claim denials.