CDT D7210: Surgical Extraction of Erupted Tooth Involving Bone Removal

Headline: CDT code D7210: Surgical Extraction of Erupted Tooth Involving Bone Removal

CDT code D7210 denotes a surgical extraction procedure for an erupted tooth that necessitates removal of bone and/or sectioning of the tooth, and incorporates elevation, gingival and bone cutting, limited socket smoothing, and closure. This code captures more complex extractions than routine forceps removals and is used in dental surgical billing nationally to distinguish resource intensity and appropriate service documentation.

Major national payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, and UnitedHealthcare. Readers will find a focused review of clinical context for surgical extractions, how D7210 is positioned relative to related extraction codes, payer coverage considerations, and common billing scenarios that affect service line classification. The publication provides benchmarks for coding selection, highlights documentation elements that typically accompany surgical extraction claims, and outlines common diagnosis categories that align with this procedure code.

This summary is intended for dental billing professionals, practice managers, and policy analysts who need a concise reference to the clinical and billing meaning of CDT code D7210, how it differs from less invasive extraction codes, and which payers are commonly involved in coverage decisions. Data not available in the input for specific reimbursement rates or payer-specific policy details.

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Billing Code Overview

CDT code D7210 describes an extraction of an erupted tooth that requires removal of bone and/or sectioning of the tooth and includes elevation. The procedure includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of socket bone, and closure.

Service Type: Oral and Maxillofacial Surgery (dental surgical procedure)

Typical Site of Service: Dental Office (POS 11)

National Reimbursement Benchmarks

National mean commercial rates exceed Medicare in the provided benchmarks: BUCA (average commercial) has a mean of $146.49 compared with Medicare (no Medicare value provided in the input). UnitedHealthcare and Blue Cross Blue Shield report the highest commercial mean rates at $198.47 and $171.56 respectively, while Cigna Health and Aetna report lower means at $102.72 and $125.97 respectively.

Rate dispersion (P75 minus P25) is widest for Blue Cross Blue Shield (203.00 − 130.00 = $73.00) and UnitedHealthcare (225.22 − 174.67 = $50.55). Dispersion is tightest for Cigna Health (111.00 − 96.00 = $15.00) and Aetna (135.50 − 98.33 = $37.17). The table and chart below present the full breakdown.

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CDT D7210: Surgical Extraction of Erupted Tooth Involving Bone Removal

Headline: CDT code D7210: Surgical Extraction of Erupted Tooth Involving Bone Removal

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Billing Code Overview

Service Type: Oral and Maxillofacial Surgery (dental surgical procedure)

Typical Site of Service: Dental Office (POS 11)

National Reimbursement Benchmarks

National Mean Allowed Rates for CDT code D7210 by Payer

Clinical & Coding Specifications

Clinical Context

A 32-year-old patient presents to a dental office (POS 11) with pain and difficulty chewing related to a fully erupted but structurally compromised molar. Clinical exam and radiographs demonstrate extensive tooth structure loss with periodontal involvement and possible periapical pathology. After local anesthesia, the oral and maxillofacial surgeon or dentist performs a surgical extraction requiring removal of alveolar bone and sectioning of the tooth to facilitate removal. The procedure includes elevation, cutting of gingiva and bone as needed, removal of tooth structure, minor smoothing of the socket bone, and closure. Typical workflow: evaluation and radiographs, informed consent, local anesthesia (with or without sedation per practice policies), surgical extraction documented as CDT code D7210, intraoperative findings and technique recorded, postoperative instructions and analgesia provided, and follow-up arranged for healing assessment.

Related Codes

D7140 - Extraction, erupted tooth or exposed root (elevation and/or forceps removal)
- Clinical relationship: D7140 is used for non-surgical extractions performed with elevation or forceps without removal of bone or sectioning; it is an alternative when bone removal/sectioning is not required.
D7220 - Removal of impacted tooth - soft tissue
- Clinical relationship: D7220 applies to impacted teeth covered only by soft tissue; it may be used instead of D7210 when the tooth is impacted under soft tissue rather than erupted and requiring bone removal.
D7230 - Removal of impacted tooth - partially bony
- Clinical relationship: D7230 is used when partial bone removal is required for an impacted tooth; it may be an alternative when impaction and partial bony coverage define the clinical problem.
D7240 - Removal of impacted tooth - completely bony
- Clinical relationship: D7240 applies to teeth completely encased in bone and typically requires more extensive bone removal than D7210.
D7250 - Removal of residual tooth roots (cutting procedure)
- Clinical relationship: D7250 is used when residual roots require sectioning and removal; it can follow an extraction or be used when roots remain after crown removal.
Common usage notes: D7140 is commonly used as an alternative for simple non-surgical extractions. Codes D7220–D7240 and D7250 represent procedural variations for impacted teeth or residual roots and may be chosen based on impaction depth and extent of bone removal. Documentation should support the selected code and any modifier (for example, 22 or 52).

D0210 – Intraoral - complete series of radiographic images

D3310-ENDODONTIC-THERAPY-ANTERIOR-TOOTH-EXCLUDING-FINAL

D3310 – Endodontic therapy, anterior tooth (excluding final restoration)

D2150-AMALGAM-TWO-SURFACES-PRIMARY-OR

D2150 – Amalgam - two surfaces, primary or permanent

D2750-CROWN-PORCELAIN-FUSED-TO-HIGH-NOBLE

D2750 – Crown - porcelain fused to high noble metal

D2393-RESINBASED-COMPOSITE-THREE-SURFACES

CPT D2393: Resin-Based Composite Restoration, Three Surfaces, Posterior

D4910-PERIODONTAL-MAINTENANCE

CPT D4910: Periodontal Maintenance Procedures

D1110-PROPHYLAXIS-ADULT-CLEANING-AND-POLISHING-OF-THE

CPT D1110: Adult Dental Cleaning and Polishing

D1206-TOPICAL-FLUORIDE-TREATMENT-EXCEPT-VARNISH-THERAPEUTIC

CPT D1206: Topical Fluoride Treatment for Moderate to High Caries Risk Patients

D2140-AMALGAM-ONE-SURFACE-PRIMARY-OR

CPT D2140: Amalgam Restoration, One Surface, Primary or Permanent Tooth

D1120-

CPT D1120: Prophylaxis for Children, Preventive Dental Cleaning

Showing 1–10 of 24

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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Clinical & Coding Specifications

Clinical Context

Related Codes

D7140 - Extraction, erupted tooth or exposed root (elevation and/or forceps removal)
- Clinical relationship: D7140 is used for non-surgical extractions performed with elevation or forceps without removal of bone or sectioning; it is an alternative when bone removal/sectioning is not required.
D7220 - Removal of impacted tooth - soft tissue
- Clinical relationship: D7220 applies to impacted teeth covered only by soft tissue; it may be used instead of D7210 when the tooth is impacted under soft tissue rather than erupted and requiring bone removal.
D7230 - Removal of impacted tooth - partially bony
- Clinical relationship: D7230 is used when partial bone removal is required for an impacted tooth; it may be an alternative when impaction and partial bony coverage define the clinical problem.
D7240 - Removal of impacted tooth - completely bony
- Clinical relationship: D7240 applies to teeth completely encased in bone and typically requires more extensive bone removal than D7210.
D7250 - Removal of residual tooth roots (cutting procedure)
- Clinical relationship: D7250 is used when residual roots require sectioning and removal; it can follow an extraction or be used when roots remain after crown removal.
Common usage notes: D7140 is commonly used as an alternative for simple non-surgical extractions. Codes D7220–D7240 and D7250 represent procedural variations for impacted teeth or residual roots and may be chosen based on impaction depth and extent of bone removal. Documentation should support the selected code and any modifier (for example, 22 or 52).

D0210 – Intraoral - complete series of radiographic images

D3310-ENDODONTIC-THERAPY-ANTERIOR-TOOTH-EXCLUDING-FINAL

D3310 – Endodontic therapy, anterior tooth (excluding final restoration)

D2150-AMALGAM-TWO-SURFACES-PRIMARY-OR

D2150 – Amalgam - two surfaces, primary or permanent

D2750-CROWN-PORCELAIN-FUSED-TO-HIGH-NOBLE

D2750 – Crown - porcelain fused to high noble metal

D2393-RESINBASED-COMPOSITE-THREE-SURFACES

CPT D2393: Resin-Based Composite Restoration, Three Surfaces, Posterior

D4910-PERIODONTAL-MAINTENANCE

CPT D4910: Periodontal Maintenance Procedures

D1110-PROPHYLAXIS-ADULT-CLEANING-AND-POLISHING-OF-THE

CPT D1110: Adult Dental Cleaning and Polishing

D1206-TOPICAL-FLUORIDE-TREATMENT-EXCEPT-VARNISH-THERAPEUTIC

CPT D1206: Topical Fluoride Treatment for Moderate to High Caries Risk Patients

D2140-AMALGAM-ONE-SURFACE-PRIMARY-OR

CPT D2140: Amalgam Restoration, One Surface, Primary or Permanent Tooth

D1120-

CPT D1120: Prophylaxis for Children, Preventive Dental Cleaning

Showing 1–10 of 24

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.