Understanding Dental Code D7140

When to Use D7140 dental code

The D7140 dental code is designated for the extraction of an erupted tooth or exposed root, utilizing elevation and/or forceps removal. This code is appropriate when a tooth is fully visible in the mouth or when the root is exposed, but the procedure does not require surgical sectioning of the tooth or removal of bone. It is important to distinguish D7140 from other extraction codes, such as D7210, which is used for surgical extractions involving bone removal or tooth sectioning.

Documentation and Clinical Scenarios

Proper documentation is essential for accurate billing and claim approval. When using D7140, ensure the clinical notes clearly state:

• The tooth or root is erupted or exposed.
• No surgical intervention (bone removal or tooth sectioning) was required.
• The extraction was performed using elevation and/or forceps only.
• Any relevant radiographs or intraoral photos are attached to the patient record.

Common clinical scenarios for D7140 include removal of a mobile primary tooth, extraction of a non-restorable erupted permanent tooth, or removal of a fractured root that is visible and accessible without surgical intervention.

Insurance Billing Tips

To maximize reimbursement and minimize denials when billing D7140, follow these best practices:

• Verify patient eligibility and plan coverage for extractions before treatment. Some plans may have frequency limitations or require pre-authorization.
• Submit detailed clinical documentation with the claim, including chart notes and radiographs, to demonstrate medical necessity.
• Use accurate tooth numbers and specify if the extraction was for a primary or permanent tooth.
• If the claim is denied, review the EOB for the reason and file a timely appeal with additional supporting documentation if needed.
• Train your front desk and billing team on the differences between D7140 and surgical extraction codes to avoid miscoding and potential delays in accounts receivable (AR).

Example Case for D7140

Case: A 45-year-old patient presents with a severely decayed upper right first premolar. The tooth is fully erupted, and the root is exposed due to decay. After reviewing the radiograph and confirming no bone removal or sectioning is needed, the dentist uses forceps to extract the tooth. The clinical note documents the tooth number, procedure performed, and includes a pre-op radiograph. The claim is submitted with code D7140, supporting documentation, and is promptly paid by the insurance carrier.

This example highlights the importance of precise documentation and correct code selection for efficient dental billing and optimal revenue cycle management.