Understanding Dental Code D7311

When to Use D7311 dental code

The D7311 dental code refers to "alveoloplasty in conjunction with extractions – one to three teeth or tooth spaces, per quadrant." This CDT code is used when a dentist performs reshaping or smoothing of the alveolar ridge (the bone that holds the teeth) at the same time as extracting one to three teeth in a single quadrant. It is distinct from D7310, which is used when alveoloplasty is performed in conjunction with extractions of four or more teeth per quadrant. D7311 should be selected only when the alveoloplasty is a separate and significant procedure beyond the routine smoothing that occurs during a typical extraction.

Documentation and Clinical Scenarios

Accurate documentation is essential for successful reimbursement of D7311. The clinical notes should clearly describe:

• The number of teeth extracted in the quadrant (one to three).
• The specific need for alveoloplasty (e.g., sharp bony edges, irregular ridge, or preparation for a prosthesis).
• Details showing that the alveoloplasty was more extensive than the smoothing typically performed during extraction.
• Pre- and post-operative radiographs or intraoral photos, if available, to support the necessity and extent of the procedure.

Common clinical scenarios include preparing the ridge for a partial denture or addressing bony irregularities that would impede healing or prosthetic fit. Always ensure that the documentation differentiates D7311 from routine extraction procedures.

Insurance Billing Tips

To maximize reimbursement and minimize denials when billing D7311:

• Verify the patient’s insurance benefits and frequency limitations for surgical procedures before treatment.
• Submit a detailed narrative explaining why alveoloplasty was necessary in addition to the extraction(s).
• Include supporting documentation, such as clinical notes and radiographs, with the claim.
• If the claim is denied, review the Explanation of Benefits (EOB) for the reason and be prepared to submit a claim appeal with additional documentation if needed.
• Track accounts receivable (AR) closely to ensure timely follow-up on outstanding claims.

Many payers scrutinize D7311 claims closely due to its overlap with routine extraction procedures, so clear and thorough documentation is your best defense against denials.

Example Case for D7311

Case Scenario: A patient presents with two non-restorable teeth in the lower left quadrant. The dentist determines that, due to irregular bony ridges and the patient’s plan for a partial denture, alveoloplasty is needed at the time of extraction. The clinical notes specify the extent of bony recontouring, and pre- and post-op photos are taken. The claim is submitted with a detailed narrative and supporting images. The insurance carrier initially denies the claim, stating the procedure is included with extractions. The dental office submits an appeal with additional documentation highlighting the prosthetic necessity, and the claim is ultimately approved.

This example illustrates the importance of precise documentation and proactive claims management when using the D7311 dental code.