Extractions (D7111-D7250):
Include local anesthesia, suturing, if
needed, and routine post-operative care. An extraction
is a removal of one tooth using forceps and/or elevators,
may require elevation of mucoperiosteal flap, removal
of bone and/or sectioning for removal.
Coronal remnants - deciduous tooth (D7111):
Includes soft tissue-retained coronal
remnants.
Extraction, erupted tooth or exposed root
(elevation and/or forceps removal) (D7140):
Includes routine removal of tooth structure and closure,
as necessary.
Surgical removal of erupted tooth requiring
elevation of mucoperiosteal flap and removal of bone
and/or section of tooth (D7210):
Includes cutting of gingiva and bone, removal
of tooth structure, and closure.
Removal of impacted tooth – soft
tissue (D7220):
Occlusal surface of tooth covered by soft tissue;
requires mucoperiosteal flap elevation.
Removal of impacted tooth – partially
bony (D7230):
Part of crown covered by bone; requires mucoperiosteal
flap elevation and bone removal.
Removal of impacted tooth – completely
bony (D7240):
Most or all of crown covered by bone;
requires mucoperiosteal flap elevation and bone removal.
Removal of impacted tooth – completely
bony, with unusual surgical complications (D7241):
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.
Surgical removal of residual tooth roots
(cutting procedure) (D7250):
Includes cutting of soft tissue and bone,
removal of tooth structure, and closure.
Surgical (D7210 & D7220) and bony extractions (D7230,
D7240, D7241) are subject to review, requiring pre-treatment
x-ray(s).
