The Comprehensive Guide to D7982 Dental Code
The D7982 dental code is a specialized procedure classified under oral and maxillofacial surgery. It refers to the surgical excision of bone tissue, often required in cases of pathological lesions, osteomyelitis, or bone recontouring for prosthetic reasons. This code is essential for dental professionals who perform complex bone-related surgeries, ensuring accurate billing and documentation.
Unlike simple extractions or minor bone adjustments, D7982 involves significant bone removal, making it a critical procedure in advanced dentistry. Whether addressing infections, tumors, or preparing for dental implants, understanding this code ensures proper treatment planning and reimbursement.
2. Understanding the D7982 Procedure: Surgical Excision of Bone Tissue
The D7982 procedure involves the removal of a portion of bone to treat disease, facilitate healing, or prepare for restorative work. It is not the same as:
- Tooth extraction (D7140)
- Alveoloplasty (D7310)
- Biopsy (D7286)
Instead, D7982 is reserved for cases requiring extensive bone excision, such as:
✔ Osteomyelitis (bone infection)
✔ Benign or malignant bone lesions
✔ Traumatic bone fractures requiring debridement
✔ Bone reduction for prosthetic rehabilitation
3. When Is D7982 Necessary? Common Clinical Scenarios
A. Osteomyelitis (Bone Infection)
Chronic bone infections may require surgical debridement (D7982) to remove necrotic bone and promote healing.
B. Cysts and Tumors
Benign (e.g., odontogenic keratocyst) or malignant bone lesions often necessitate excisional surgery (D7982).
C. Pre-Prosthetic Surgery
Patients needing bone reduction before denture placement may undergo D7982 for optimal fit.
D. Trauma Cases
Fractured or non-vital bone segments may require excision to prevent complications.
4. Step-by-Step Breakdown of the D7982 Procedure
| Step | Description |
|---|---|
| 1. Diagnosis & Imaging | CBCT or X-rays confirm bone pathology. |
| 2. Anesthesia Administration | Local or general anesthesia is applied. |
| 3. Incision & Access | A mucoperiosteal flap is raised. |
| 4. Bone Removal | High-speed burs or piezosurgery excise affected bone. |
| 5. Wound Closure | Sutures or bone grafts are placed if needed. |
| 6. Post-Op Instructions | Antibiotics and pain management are prescribed. |
5. Preoperative Considerations and Patient Evaluation
Before performing D7982, dentists must:
- Review medical history (diabetes, osteoporosis, bleeding disorders).
- Assess radiographic findings (CBCT preferred).
- Obtain informed consent detailing risks.
6. Anesthesia and Pain Management for D7982
- Local anesthesia (Lidocaine with epinephrine) for minor cases.
- IV sedation or general anesthesia for complex surgeries.
- Postoperative pain control (NSAIDs, opioids if necessary).
7. Surgical Techniques and Tools Used in D7982
- Piezosurgery (minimizes nerve damage).
- Rotary burs (for precise bone cutting).
- Laser-assisted excision (emerging technology).
8. Postoperative Care and Recovery Guidelines
- First 24 Hours: Ice packs, soft diet, no smoking.
- 1-2 Weeks: Follow-up for suture removal.
- Long-Term: Monitor bone healing via imaging.
9. Potential Risks and Complications
⚠ Nerve injury (paresthesia)
⚠ Infection (requires antibiotics)
⚠ Excessive bleeding (hemostatic agents needed)
10. D7982 vs. Other Related Dental Codes (Comparison Table)
| Code | Description | Key Difference |
|---|---|---|
| D7982 | Surgical excision of bone tissue | Major bone removal |
| D7310 | Alveoloplasty | Minor bone smoothing |
| D7210 | Surgical extraction | Tooth + minimal bone removal |
11. Insurance and Billing Considerations for D7982
- Medical necessity must be documented.
- Pre-authorization often required.
- Coding accuracy prevents claim denials.
12. FAQs About the D7982 Dental Code
Q1: Is D7982 covered by dental insurance?
A: Some plans cover it if deemed medically necessary. Medical insurance may apply for tumor cases.
Q2: How long does recovery take after D7982?
A: 2-6 weeks, depending on bone healing.
Q3: Can D7982 be done with laser surgery?
A: Yes, but not all clinics offer laser-assisted bone excision.
13. Conclusion
The D7982 dental code is crucial for complex bone-related surgeries, ensuring proper treatment and billing. From infection control to tumor removal, this procedure demands precision and expertise. Always confirm medical necessity and follow best practices for optimal outcomes.
