Overview of CPT Code 21087: Removal of impacted tooth, soft tissue
CPT Code 21087 refers to the surgical removal of an impacted tooth that is covered by soft tissue. This procedure is typically performed when a tooth, often a wisdom tooth, fails to emerge properly and is trapped beneath the gums, causing pain or potential complications.
When CPT Code 21087 is Used?
This code is applicable in various clinical scenarios.
- Presence of an impacted wisdom tooth causing pain or infection.
- Development of cysts or tumors around the impacted tooth.
- Impacted teeth leading to orthodontic issues or misalignment.
- Inability to maintain oral hygiene due to the position of the tooth.
Symptoms Indicating This Procedure
Patients may report several symptoms that indicate the need for this procedure.
- Severe pain in the jaw or surrounding areas.
- Swelling and inflammation of the gums.
- Difficulty opening the mouth or chewing.
- Bad breath or an unpleasant taste in the mouth.
- Infection or abscess formation in the gum tissue.
Causes and Risk Factors
Several factors can contribute to the development of impacted teeth.
- Genetic predisposition to dental crowding.
- Jaw size that is too small to accommodate all teeth.
- Early loss of primary teeth leading to misalignment.
- Poor oral hygiene and dental care practices.
Diagnostic Tests Before Procedure
Certain tests are essential for diagnosing the need for this procedure.
- Panoramic X-rays to visualize the position of the impacted tooth.
- Cone beam computed tomography (CBCT) for detailed imaging.
- Clinical examination to assess gum health and tooth position.
Procedure Description
The procedure involves several key steps.
- Administer local anesthesia to numb the area.
- Make an incision in the gum tissue to expose the tooth.
- Remove any bone covering the tooth if necessary.
- Extract the impacted tooth carefully.
- Clean the area and suture the gum tissue if needed.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Consult with the dentist about medications and allergies.
- Avoid eating or drinking for several hours prior to the procedure.
- Arrange for transportation home post-surgery if sedation is used.
- Discuss any concerns or questions with the dental team.
Recovery and Aftercare
Post-procedure recovery is crucial for healing.
- Expect swelling and discomfort for a few days.
- Use ice packs to reduce swelling.
- Follow prescribed pain management and antibiotics.
- Maintain a soft diet and avoid hard or chewy foods.
- Attend follow-up appointments to monitor healing.
Possible Complications
While generally safe, there are potential risks involved.
- Infection at the extraction site.
- Dry socket, leading to severe pain.
- Nerve damage causing numbness or tingling.
- Excessive bleeding during or after the procedure.
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Post-Procedure Follow-Up
Follow-up care is essential for recovery.
- Schedule a follow-up visit within a week post-surgery.
- Monitor for signs of infection or complications.
- Discuss any ongoing pain or concerns with the dentist.
Alternative Treatments
There are non-surgical options to consider.
- Monitoring the impacted tooth if asymptomatic.
- Orthodontic treatment to create space for the tooth.
- Pain management with over-the-counter medications.
Home Care Tips
Patients can follow these tips for better recovery.
- Keep the mouth clean by rinsing with warm salt water.
- Avoid smoking and alcohol during recovery.
- Rest and avoid strenuous activities for a few days.
- Use prescribed medications as directed.
Patient Education & Prevention
Understanding prevention can help avoid future issues.
- Maintain regular dental check-ups to monitor tooth development.
- Practice good oral hygiene to prevent infections.
- Discuss any concerns about tooth alignment with a dentist.
Billing and Coding Information
CPT Code: 21087
Category: Surgical Procedures
Common Modifiers:
- 50 (bilateral procedure)
- RT (right side)
- LT (left side)
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $300 to $800.
- Insurance may cover a portion of the procedure.
- Check with your provider for specific coverage details.
Related CPT Codes
- 21085 - Radiologic evaluation of temporomandibular joint
- 21086 - Radiologic evaluation of temporomandibular joint
References and Sources
Frequently Asked Questions (FAQs)
What is an impacted tooth?
An impacted tooth is one that fails to emerge properly from the gums.
Is the procedure painful?
Local anesthesia is used to minimize pain during the procedure.
How long is the recovery period?
Most patients recover within a week, but full healing may take longer.
Can I eat after the procedure?
It's best to stick to soft foods for the first few days.
