Understanding D7140 Dental Code and Extractions

What ADA CDT dental code is D7140?

D7140 is the ADA CDT dental code for a simple extraction or pulling of a tooth that is non-surgical. The code description is officially “extraction, erupted tooth or exposed root (elevation and/or forceps removal).”

Frequently Asked Questions About D7140 Dental Code

What procedure does D7140 refer to?

The D7140 code refers to the extraction of an erupted tooth or exposed root. This procedure is performed when a tooth is severely decayed, damaged, or impacted and cannot be saved through restorative methods.

What are the documentation requirements and best practices for D7140?

  • Document the clinical reasons for the extraction, including patient symptoms and diagnosis.
  • Include pre-operative radiographs and detailed notes on the tooth’s condition.
  • Record the procedure performed and any post-operative care instructions given to the patient.

What are the typical reimbursement rates and guidelines for D7140?

  • Reimbursement rates generally range from $75 to $150, depending on the insurance provider.
  • Guidelines typically require documentation of the medical necessity for the extraction and may include pre-authorization.

Are there any common errors or pitfalls to avoid with D7140?

  • Common errors include insufficient documentation of the necessity for the extraction.
  • Avoid coding this procedure for teeth that require surgical removal (use D7210 for surgical extractions).

How should D7140 be submitted on an insurance claim, and what modifiers are required?

  • Submit with comprehensive clinical notes justifying the extraction.
  • Generally, no specific modifiers are required unless specified by the insurance provider.

Is D7140 often used with other codes, and how does it fit into the overall coding system?

  • Often used with diagnostic evaluation codes like D0140 and radiographic imaging codes like D0220.
  • It is part of the broader category of dental extractions and oral surgery procedures.

How can I verify patient eligibility and coverage for this procedure?

  • Contact the patient’s insurance provider to verify coverage and any requirements for pre-authorization.
  • Confirm any documentation requirements for demonstrating medical necessity.

What are the ethical considerations and common fraud indicators associated with D7140?

  • Ensure the extraction is clinically necessary and well-documented.
  • Be cautious of overusing D7140 for procedures that require surgical intervention or when the tooth could be restored.

What are the key differences between similar codes?

  • Unlike D7210, which covers surgical removal of erupted teeth requiring bone removal, D7140 is for simple extractions without surgical intervention.
  • D7140 involves less complexity and typically lower reimbursement rates.

Why was D7140 specifically used for my treatment, and are there alternative treatments with different codes and costs?

  • D7140 was used because your tooth was severely decayed or damaged but could be removed without surgical intervention.
  • Alternatives include surgical extraction (D7210) if the tooth is impacted or requires more complex removal, which typically involves higher costs.

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