What Is the Insurance Code for a Tooth Extraction?
As of 2015, the Current Dental Terminology codes for a surgical extraction range from D7210 to D7251, according to a policy of coverage for Aetna dated April 17, 2015. The code D7210 indicates surgical removal of an erupted tooth that requires removal of bone, notes the state of Wisconsin’s Forward Health portal. The code D7140 means a dentist removed a tooth with forceps.
Both codes reveal that the dentist used a local anesthetic on the affected tooth, says Forward Health. These extractions may need sutures and routine postoperative care. Along with the code, the dental office notes which tooth the dentist extracted, using a numbering system that goes from one to 32. The dentist indicates one extraction code per tooth, which means that if the dentist removes two teeth, the code appears twice on the insurance statement. Code D7210 covers an emergency procedure, while code D7140 does not.
An extraction means a dentist removes an entire tooth or tooth parts, according to the American Dental Association. Dentists find this term, and its matching code, in the CDT manual published by the American Dental Association. The manual contains dental procedure codes, standard names for every procedure and other data that allows dental offices to maintain accurate record keeping for patients. These codes also help dental offices properly prepare insurance claims. The ADA publishes the CDT manual every two years.