D7280 Dental Code: Everything You Need to Know

Dental procedures are categorized under the Current Dental Terminology (CDT) Code Set, maintained by the American Dental Association (ADA). One such code, D7280, refers to the surgical removal of an erupted tooth requiring elevation of mucoperiosteal flap and removal of bone and/or sectioning of tooth.

This procedure is more complex than a simple extraction (D7140) and is often necessary when a tooth is impacted, fractured, or has curved roots that make removal difficult. Understanding D7280 is crucial for dentists, oral surgeons, and patients who may require this treatment.

2. What Does D7280 Cover?

D7280 involves:

• Incision and flap elevation – The gum tissue is lifted to access the tooth and bone.

• Bone removal – If the tooth is impacted or deeply rooted, some bone may need to be removed.

• Tooth sectioning – The tooth may be divided into smaller pieces for easier extraction.

• Suturing – The gum is stitched back into place for proper healing.

This code is not used for:

• Simple extractions (D7140)

• Wisdom tooth removal (D7210 or D7220) unless flap elevation and bone removal are required.

3. When Is D7280 Used?

D7280 is typically required in cases such as:

• Impacted teeth (excluding third molars)

• Broken teeth with roots still embedded in bone

• Teeth with hypercementosis (excessive cementum buildup)

• Teeth fused to the jawbone (ankylosis)

Comparison of D7280 with Similar Codes

4. D7280 vs. Other Dental Codes

• D7140 (Simple Extraction) – No flap or bone removal needed.

• D7210 (Surgical Extraction with Flap) – Involves flap but no bone removal.

• D7280 (Complex Surgical Extraction) – Requires both flap elevation and bone removal.

Misusing these codes can lead to insurance claim denials, so proper documentation is essential.

5. Step-by-Step Procedure for D7280

1. Diagnosis & Imaging – X-rays or CT scans determine the tooth’s position.

2. Anesthesia – Local or general anesthesia is administered.

3. Incision & Flap Elevation – The gum is cut and lifted.

4. Bone Removal – A drill or osteotome removes obstructing bone.

5. Tooth Sectioning – The tooth is split if necessary.

6. Extraction – The tooth is carefully removed.

7. Socket Cleaning – Debris is cleared, and the site is irrigated.

8. Suturing – The gum is stitched back.

6. Cost and Insurance Coverage for D7280

• Average Cost: $300–$800 per tooth (varies by location and complexity).

• Insurance Coverage: Most plans cover 50–80% if deemed medically necessary.

• Medicare/Medicaid: Limited coverage; often requires prior authorization.

7. Common Questions About D7280

Q: Is D7280 painful?

A: No, anesthesia ensures a painless procedure. Post-op discomfort is managed with medication.

Q: How long is recovery?

A: 7–10 days for initial healing; full bone healing takes 3–6 months.

Q: Can D7280 be billed with other codes?

A: Yes, if additional procedures (e.g., bone graft D7953) are performed.

8. FAQs

Q1: Does D7280 apply to wisdom teeth?

A: No, wisdom teeth extractions use D7210 or D7220.

Q2: What if my insurance denies D7280?

A: Appeal with X-rays and operative notes proving medical necessity.

Q3: Can a general dentist perform D7280?

A: Yes, if they have surgical training; otherwise, an oral surgeon is recommended.

9. Conclusion

D7280 is a complex dental extraction requiring flap elevation and bone removal. Proper diagnosis, coding, and post-op care ensure successful treatment. Always verify insurance coverage and seek an experienced provider for optimal results.

10. Additional Resources

• ADA CDT Code Manual

• AAOMS Surgical Extraction Guidelines

• Medicare Dental Coverage Policies