Comprehensive Guide to D7485 Dental Code: Indications, Procedures, and Benefits

The D7485 dental code is a specialized procedure used in periodontal therapy, specifically for the removal of a pericoronal odontogenic cyst. This condition often occurs around impacted or partially erupted teeth, particularly third molars (wisdom teeth). The cyst can lead to pain, infection, and bone destruction if left untreated, making D7485 a crucial intervention in oral surgery and periodontics.

This article provides an in-depth exploration of the D7485 code, including its clinical applications, procedural steps, insurance considerations, and patient benefits. Whether you’re a dental professional seeking clarity on billing or a patient curious about this treatment, this guide offers valuable insights.

2. Understanding the D7485 Code: Definition and Scope

The D7485 code falls under the American Dental Association (ADA) Current Dental Terminology (CDT) and is categorized as a periodontal surgical procedure. Specifically, it refers to:

“Removal of pericoronal odontogenic cyst or tumor – by excision.”

This means the procedure involves surgically excising a cyst or benign tumor located around the crown of an unerupted or partially erupted tooth.

Key Features of D7485:

• Used for cysts associated with impacted teeth (commonly wisdom teeth).

• Different from D7210 (tooth extraction) because it focuses on cyst removal rather than just tooth extraction.

• Often performed by oral surgeons or periodontists.

3. When Is D7485 Used? Clinical Indications

The D7485 procedure is recommended in cases where a pericoronal cyst (such as a dentigerous cyst) is present. Common scenarios include:

Signs and Symptoms Requiring D7485:

✔ Swelling and pain around an impacted tooth.
✔ Radiographic evidence of a cystic lesion (visible on X-rays or CBCT scans).
✔ Risk of bone loss if the cyst expands.
✔ Infection or abscess formation near the cyst.

Conditions Commonly Associated with D7485:

4. Step-by-Step Procedure for D7485

The D7485 procedure follows a structured surgical approach:

Step 1: Diagnosis and Imaging

• Clinical examination (checking for swelling, pain, or infection).

• Radiographic assessment (X-rays, panoramic imaging, or CBCT scans).

Step 2: Anesthesia and Access

• Local anesthesia (sometimes sedation for anxious patients).

• Incision and flap reflection to expose the cyst.

Step 3: Cyst Removal

• Enucleation (complete removal of the cyst lining).

• Tooth extraction (if necessary) (coded separately under D7210).

Step 4: Closure and Post-Op Care

• Suturing the surgical site.

• Prescribing antibiotics or pain relievers if needed.

5. Benefits of D7485 for Patients and Dentists

For Patients:

✅ Prevents further bone loss.
✅ Reduces pain and infection risk.
✅ Improves healing of surrounding tissues.

For Dentists:

✅ Clear billing code for insurance claims.
✅ Structured approach to cyst management.

6. Comparing D7485 with Other Periodontal Codes

7. Insurance and Reimbursement for D7485

• Coverage varies by insurance provider.

• Pre-authorization may be required.

• Documentation (X-rays, clinical notes) is crucial for claims.

8. Common Challenges and How to Overcome Them

• Incomplete cyst removal → Ensure thorough enucleation.

• Post-op infection → Prescribe antibiotics if necessary.

• Insurance denials → Submit detailed records.

9. FAQs About D7485

Q: Is D7485 covered by dental insurance?
A: It depends on the plan, but most medical/dental policies cover it if deemed medically necessary.

Q: How long is recovery after D7485?
A: Typically 1-2 weeks, depending on cyst size.

Q: Can a general dentist perform D7485?
A: Yes, but complex cases may require an oral surgeon.

10. Conclusion

The D7485 dental code is essential for treating pericoronal cysts, preventing complications, and ensuring optimal oral health. Proper diagnosis, surgical technique, and insurance documentation are key to successful outcomes.

11. Additional Resources

• ADA CDT Code Manual

• Journal of Oral and Maxillofacial Surgery

• AAOMS Clinical Guidelines