Browse HCPCS Level II 2020 Edition

D7111 - D7251  Extractions - Includes local Anesthesia, Suturing, if Needed, and Routine Postoperative Care

D7111 Extraction, coronal remnants - primary tooth short Extraction coronal remnants RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 20.0 3 Date of Service Edit: Clinical Anatomic Consideration OPH 20.0 3 Date of Service Edit: Clinical Anatomic Consideration

D7140 Extraction, erupted tooth or exposed root (elevation and/or forceps removal) short Extraction erupted tooth/exr RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX MUE Location Value Ajudication Indicator Rationale PRA 32.0 2 Date of Service Edit: Policy Anatomic Consideration OPH 32.0 2 Date of Service Edit: Policy Anatomic Consideration

D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated short Rem imp tooth w mucoper flp RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 YYY MUE Location Value Ajudication Indicator Rationale PRA 32.0 2 Date of Service Edit: Policy Anatomic Consideration OPH 32.0 2 Date of Service Edit: Policy Anatomic Consideration

D7220 Removal of impacted tooth-soft tissue short Impact tooth remov soft tiss RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 YYY MUE Location Value Ajudication Indicator Rationale PRA 6.0 3 Date of Service Edit: Clinical Clinical: Society Comment OPH 6.0 3 Date of Service Edit: Clinical Clinical: Society Comment

D7230 Removal of impacted tooth-partially bony short Impact tooth remov part bony RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 YYY MUE Location Value Ajudication Indicator Rationale PRA 6.0 3 Date of Service Edit: Clinical Clinical: Society Comment OPH 6.0 3 Date of Service Edit: Clinical Clinical: Society Comment

D7240 Removal of impacted tooth-completely bony short Impact tooth remov comp bony RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 YYY MUE Location Value Ajudication Indicator Rationale PRA 6.0 3 Date of Service Edit: Clinical Clinical: Society Comment OPH 6.0 3 Date of Service Edit: Clinical Clinical: Society Comment

D7241 Removal of impacted tooth-completely bony, with unusual surgical complications short Impact tooth rem bony w/comp RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 YYY MUE Location Value Ajudication Indicator Rationale PRA 6.0 3 Date of Service Edit: Clinical Clinical: Society Comment OPH 6.0 3 Date of Service Edit: Clinical Clinical: Society Comment

D7250 Removal of residual tooth roots (cutting procedure) short Tooth root removal RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 YYY MUE Location Value Ajudication Indicator Rationale PRA 32.0 2 Date of Service Edit: Policy Code Descriptor / CPT Instruction OPH 32.0 2 Date of Service Edit: Policy Code Descriptor / CPT Instruction

D7251 Coronectomy - intentional partial tooth removal short Coronectomy RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 XXX