Understanding Dental Code D7282

When to Use D7282 dental code

The D7282 dental code is designated for the mobilization of an erupted or malpositioned tooth to aid eruption. This CDT code is most commonly used in pediatric and orthodontic settings when a tooth is present in the mouth but is not erupting or aligning properly. D7282 is appropriate when a dentist or specialist needs to surgically or mechanically reposition a tooth to facilitate its proper eruption, often as part of a broader orthodontic or interceptive treatment plan. It is not used for extraction or simple repositioning without the intent to aid eruption.

Documentation and Clinical Scenarios

Accurate documentation is critical for successful reimbursement of D7282. Clinical notes should clearly describe the tooth’s current position, the rationale for mobilization, and the technique used. Include pre-operative radiographs, intraoral photos, and a detailed narrative explaining why mobilization is necessary. Common clinical scenarios include:

 
• Assisting the eruption of a canine that is blocked by adjacent teeth
 
• Mobilizing a tooth that is erupting in a non-functional or esthetically undesirable position
 
• Cases where orthodontic appliances alone are insufficient to guide eruption

Be sure to differentiate D7282 from other surgical codes, such as exposure of an unerupted tooth, by emphasizing the mobilization aspect and the tooth’s erupted status.

Insurance Billing Tips

To maximize reimbursement and minimize denials when billing D7282, follow these best practices:

 
• Pre-authorization: Submit a pre-treatment estimate with supporting documentation, including clinical notes and radiographs, to the patient’s dental insurance carrier.
 
• Detailed narratives: Always include a concise, specific narrative that explains the clinical necessity for mobilization and why other treatments (like extraction or orthodontic appliances alone) are not sufficient.
 
• Attach supporting images: Radiographs and intraoral photos help substantiate the need for the procedure.
 
• Verify coverage: Not all plans cover D7282, so verify benefits and limitations before treatment. Document all verification steps in the patient’s record.
 
• Appeal denials: If a claim is denied, review the EOB for the reason, supplement with additional documentation, and submit a timely appeal. Reference the CDT code description and clinical guidelines in your appeal letter.

Example Case for D7282

Consider a 12-year-old patient with a maxillary canine that has erupted but is positioned high in the vestibule and is not descending into the arch. The orthodontist determines that surgical mobilization is necessary to aid eruption and proper alignment. The dental team documents the case with panoramic and periapical radiographs, intraoral photos, and a narrative describing the failed eruption path. After obtaining pre-authorization, the procedure is performed, and the claim is submitted with all supporting documentation. The insurance carrier approves the claim, and the practice receives timely reimbursement.

By understanding the appropriate use, documentation requirements, and insurance protocols for D7282, dental teams can ensure accurate billing and optimal patient care outcomes.