D7287 Dental Code: Everything You Need to Know

The D7287 dental code is a specialized procedure code used in dentistry to classify the surgical removal of an erupted tooth requiring the elevation of mucoperiosteal flap and removal of bone and/or sectioning of the tooth. This code is essential for dental professionals when documenting complex extractions that go beyond simple tooth removal.

Unlike routine extractions (coded under D7140 for simple extraction or D7210 for surgical extraction of an erupted tooth), D7287 is reserved for cases where additional surgical intervention is necessary. This may involve:

• Bone removal to access the tooth

• Tooth sectioning for safer extraction

• Flap elevation to ensure proper visibility and access

Understanding this code is crucial for accurate billing, insurance claims, and patient care.

2. Understanding the Purpose of D7287

The D7287 code is specifically designed for cases where a tooth cannot be removed using conventional extraction methods. This often occurs with:

• Impacted or partially erupted teeth

• Teeth with curved or divergent roots

• Teeth near critical structures (e.g., nerves, sinuses)

• Teeth with hypercementosis or ankylosis

By using this code, dentists ensure proper documentation and reimbursement for the additional surgical steps involved.

3. When is D7287 Used in Dental Practice?

Common Scenarios for D7287

Contraindications

• Simple extractions (use D7140 instead)

• Non-surgical removal cases

4. Difference Between D7287 and Similar Codes

Misusing these codes can lead to claim denials, making it crucial to document the procedure accurately.

5. Step-by-Step Procedure for D7287

1. Patient Evaluation

   • Review medical history, X-rays, and CBCT scans if needed.

2. Anesthesia Administration

   • Local anesthesia or sedation for patient comfort.

3. Flap Elevation

   • Incision and reflection of the mucoperiosteal flap.

4. Bone Removal

   • Use of a surgical bur or osteotome to access the tooth.

5. Tooth Sectioning (if needed)

   • Dividing the tooth for easier removal.

6. Extraction & Socket Debridement

   • Removal of tooth fragments and cleaning the site.

7. Closure

   • Suturing the flap back into place.

6. Insurance and Reimbursement for D7287

• Coverage varies by insurance provider.

• Pre-authorization may be required.

• Documentation must justify the need for surgical intervention (X-rays, notes).

7. Common Challenges and How to Overcome Them

• Challenge: Insurance denials due to incorrect coding.
  Solution: Provide detailed operative notes and radiographs.

• Challenge: Patient discomfort post-surgery.
  Solution: Prescribe appropriate analgesics and follow-up care.

8. Case Studies and Real-World Applications

Case Study 1: Impacted Mandibular Molar

• Issue: Patient had a deeply impacted molar near the inferior alveolar nerve.

• Solution: D7287 was used, with careful bone removal and tooth sectioning.

• Outcome: Successful extraction with no nerve damage.

9. Frequently Asked Questions (FAQs)

Q1: Is D7287 covered by insurance?
A: Most insurers cover it if medically necessary, but pre-approval may be needed.

Q2: How painful is a D7287 extraction?
A: With proper anesthesia, discomfort is minimal; post-op pain is manageable with medication.

Q3: Can a general dentist perform D7287?
A: Yes, but complex cases may require an oral surgeon.

10. Conclusion

The D7287 dental code is essential for complex surgical extractions requiring flap elevation, bone removal, or tooth sectioning. Proper documentation ensures accurate billing and insurance reimbursement. Dentists must differentiate D7287 from simpler extraction codes to avoid claim issues. With careful planning and execution, this procedure ensures safe and effective tooth removal.

11. Additional Resources

• ADA Code Manual (American Dental Association)