What is dental code D7280?

Answered by Willie Powers

Dental code D7280 refers to a surgical procedure known as the surgical access of an unerupted tooth. This code is used in dentistry to request prior authorization for this particular procedure. In order to fully understand what this code entails, let’s break it down step by step.

Firstly, the term “unerupted tooth” refers to a tooth that has not emerged or grown into its proper position in the mouth. This can happen for various reasons, such as impacted teeth or teeth that are blocked by other teeth or bone. In some cases, unerupted teeth may cause pain, discomfort, or dental issues, requiring surgical intervention.

The purpose of the surgical access procedure (as indicated by the term “surgical access” in the code) is to gain access to the unerupted tooth. This typically involves making an incision in the gum tissue to expose the tooth, allowing the dentist or oral surgeon to assess its position and determine the best course of action.

Prior authorization is necessary for this procedure because it is considered a more invasive and specialized treatment compared to routine dental procedures. The insurance provider or dental benefits plan needs to review and approve the need for surgical access and ensure that it is a covered service under the specific plan.

During the surgical access procedure, the dentist or oral surgeon will carefully make an incision in the gum tissue, taking into account the location and position of the unerupted tooth. This incision allows them to create a pathway to the tooth, providing a clear view and access for further treatment.

Once access is gained, the dentist or oral surgeon may need to perform additional steps depending on the specific case. For example, they may need to remove any bone or tissue that is blocking the tooth’s eruption path. In some cases, the tooth may need to be extracted if it is deemed non-restorable or if it is causing significant issues.

After the necessary treatment is completed, the incision site will be carefully sutured to promote proper healing. The patient will be given post-operative instructions and any necessary medications to manage pain and prevent infection.

It’s important to note that the need for surgical access of an unerupted tooth can vary greatly depending on the individual case. Some patients may require this procedure due to severe pain or oral health issues, while others may choose it for cosmetic reasons or to prevent potential complications in the future.

In my personal experience as a dental professional, I have encountered several cases where surgical access of an unerupted tooth was necessary. These situations often require careful planning and consideration, as each patient’s anatomy and dental needs are unique. By obtaining prior authorization for this procedure, we can ensure that patients receive the appropriate care and that insurance coverage is in place to help manage the associated costs.

Dental code D7280 represents a surgical procedure that involves gaining access to an unerupted tooth. It is a specialized treatment that may be required for various reasons, and prior authorization is necessary to ensure coverage and appropriate care for the patient.