© Copyright 2025 American Medical Association. All rights reserved.
Interdental fixation is a medical procedure where a physician applies a device to wire the jaws together, primarily for therapeutic purposes related to conditions that do not involve fractures or dislocations. This technique is utilized to stabilize the jaw and facilitate healing or alignment in various dental and orthodontic situations. The application of interdental fixation devices can involve the use of materials such as Ivy loops or arch bars, which are specifically designed to secure the jaws in a fixed position. In cases where patients are edentulous, meaning they do not have natural teeth, the procedure may involve first securing dentures before wiring them together with the jaws. Additionally, other orthodontic appliances may be employed alongside the interdental fixation devices to enhance treatment outcomes. This procedure is crucial for managing specific dental conditions and ensuring proper alignment and stabilization of the jaw structure.
© Copyright 2025 Coding Ahead. All rights reserved.
Interdental fixation is indicated for various conditions that require stabilization of the jaw without the presence of fractures or dislocations. The following are specific indications for this procedure:
The procedure for applying an interdental fixation device involves several key steps to ensure proper application and effectiveness. Each step is critical for achieving the desired outcome of jaw stabilization.
Post-procedure care is essential for ensuring proper recovery and minimizing complications. After the application of the interdental fixation device, patients may be advised to follow specific guidelines, including dietary restrictions to avoid hard or chewy foods that could disrupt the fixation. Regular follow-up appointments may be scheduled to monitor the healing process and assess the need for continued fixation or removal of the device. Patients should also be informed about signs of complications, such as increased pain or swelling, and instructed to contact their healthcare provider if these occur. Overall, proper post-procedure care is vital for achieving optimal outcomes following the application of interdental fixation.
| Short Descr | INTERDENTAL FIXATION | Medium Descr | APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC | Long Descr | Application of interdental fixation device for conditions other than fracture or dislocation, includes removal | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | T-Packaged Codes | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 2 | CCS Clinical Classification | 29 - Oral and Dental Services |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | GA | Waiver of liability statement issued as required by payer policy, individual case | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | GX | Notice of liability issued, voluntary under payer policy | KX | Requirements specified in the medical policy have been met | NU | New equipment | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2013-01-01 | Changed | Guideline information changed. |
| 1990-01-01 | Added | Code added |
Get instant expert-level medical coding assistance.