Summary & Overview
CPT 41823: Dentoalveolar Bone Resection
CPT code 41823 identifies a surgical procedure for removal of bone tissue from the dentoalveolar tuberosities, a targeted oral/maxillofacial operation that supports procedures such as extractions, prosthetic preparation, or management of localized bony pathology. Nationally, accurate coding for this procedure affects claims processing, surgical quality tracking, and resource allocation in dental and oral surgery services.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines payer coverage patterns, common billing modifiers, and clinical context for correct code use.
Readers will find: payer-specific coverage considerations and benchmarks where available; guidance on typical sites of service and clinical scenarios that align with CPT code 41823; and discussion of relevant documentation elements and coding accuracy that influence claim acceptance and quality reporting. The summary highlights how correct use of this CPT code integrates with broader oral surgery service lines and billing workflows. Data not available in the input is clearly noted where applicable.
Billing Code Overview
CPT code 41823 describes a surgical procedure in which the provider removes bone tissue from the dentoalveolar tuberosities. This represents a localized oral/maxillofacial surgical service focused on resecting or contouring bone within the dentoalveolar region.
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Service type: Surgical bone removal (dentoalveolar bone resection)
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Typical site of service: Oral surgery suite, ambulatory surgical center, or hospital operating room depending on patient complexity and anesthesia needs.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult referred to an oral and maxillofacial surgeon or an oral surgeon for removal of excess or obstructive bone from the dentoalveolar tuberosities—commonly as part of pre-prosthetic surgery, to facilitate denture seating, or to remove bony spicules after extractions. The patient often presents after completed extractions or with ill-fitting dentures causing mucosal irritation and pain. Evaluation includes oral exam, dental radiographs (periapical or panoramic), medical history review, and informed consent. The procedure is performed in an ambulatory surgery center, hospital outpatient department, or dental clinic under local anesthesia with or without conscious sedation, depending on patient medical status and anticipated complexity. Postoperative care includes hemostasis, suture placement when indicated, analgesics, antibiotic coverage if risk factors exist, and follow-up to assess healing and prosthetic fit.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when work required is substantially greater than usual for 41823 (document specifics and use payer rules). |
23 |