D7520 Dental Code: Understanding Removal of Impacted Tooth – Soft Tissue

Dental coding is essential for accurate billing, insurance claims, and treatment documentation. Among the various dental codes, D7520 is a critical one used for the removal of an impacted tooth involving only soft tissue. This procedure is common in oral surgery, particularly for partially erupted teeth trapped beneath the gums.

Understanding D7520 is crucial for dentists, oral surgeons, and billing specialists to ensure proper treatment planning and reimbursement. This guide will explore everything about D7520, including its clinical applications, procedural steps, differences from similar codes, and post-operative care.

2. What is the D7520 Dental Code?

The D7520 code, as defined by the American Dental Association (ADA), refers to the “removal of impacted tooth – soft tissue.” This means the tooth is partially or fully covered by gum tissue but has not yet penetrated the bone.

Key Features of D7520:

• Applies to teeth obstructed by gingival tissue only (no bone involvement).

• Commonly used for canines, premolars, and third molars (wisdom teeth).

• Differentiated from D7510 (bone removal required).

3. When is D7520 Used?

D7520 is applicable in cases where:

• The tooth is partially erupted but stuck under soft tissue.

• There is no need for bone removal (if bone is involved, D7510 is used).

• The impaction causes pain, infection, or orthodontic concerns.

Common Teeth Requiring D7520:

4. Difference Between D7510 and D7520

Many confuse D7510 (bone removal) with D7520 (soft tissue only). Here’s a comparison:

5. Step-by-Step Procedure for D7520

The removal of a soft tissue-impacted tooth follows these steps:

1. Diagnosis & Imaging

   • X-rays or CBCT scans confirm impaction type.

2. Anesthesia Administration

   • Local anesthesia (sometimes sedation for anxious patients).

3. Incision & Tissue Reflection

   • A small gum flap is lifted to expose the tooth.

4. Tooth Extraction

   • The tooth is loosened and removed with forceps.

5. Suturing & Aftercare Instructions

   • Absorbable sutures are often used.

6. Common Challenges in Soft Tissue Impaction Removal

• Bleeding Management: Proper suturing minimizes bleeding.

• Infection Risk: Antibiotics may be prescribed.

• Nerve Proximity: Careful handling prevents nerve damage.

7. Post-Operative Care and Recovery

Patients should follow these guidelines:
✔ Avoid rinsing/spitting for 24 hours.
✔ Use ice packs to reduce swelling.
✔ Stick to soft foods (yogurt, mashed potatoes).
✔ Take prescribed painkillers as needed.

8. Potential Complications and How to Avoid Them

9. Cost and Insurance Coverage for D7520

• Average Cost: $250–$500 per tooth.

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

10. FAQs About D7520

Q1: Does D7520 require stitches?

Yes, but they are often dissolvable.

Q2: How long does healing take after D7520?

3–7 days for initial healing; full recovery in 2 weeks.

Q3: Can D7520 be done under general anesthesia?

Usually, local anesthesia suffices, but sedation is an option.

11. Conclusion

The D7520 dental code is essential for removing soft tissue-impacted teeth efficiently. Understanding its application, procedural steps, and aftercare ensures optimal patient outcomes. Proper documentation and billing prevent claim denials, making this knowledge vital for dental professionals.

12. Additional Resources

• ADA Dental Code Manual

• AAOMS Guidelines on Tooth Extraction

• Patient Aftercare Instructions (PDF)