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Official Description

Removal of embedded foreign body from dentoalveolar structures; bone

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 41806 refers to the procedure involving the removal of an embedded foreign body from the dentoalveolar structures, specifically from the bone. This procedure is necessary when a foreign object, which may include items such as dental instruments, fragments from dental procedures, or other materials, becomes lodged within the bone beneath the gums. The presence of such foreign bodies can lead to complications such as infection, inflammation, or pain, necessitating surgical intervention to ensure the health and integrity of the oral cavity. The procedure is performed by a qualified dental professional who carefully accesses the affected area to extract the foreign object, thereby alleviating any associated symptoms and restoring normal function to the dentoalveolar region.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 41806 is indicated in specific circumstances where a foreign body is embedded within the dentoalveolar structures. The following conditions warrant the performance of this procedure:

  • Embedded Foreign Body The presence of a foreign object lodged in the bone beneath the gums, which may cause discomfort, pain, or potential infection.
  • Infection or Inflammation Symptoms indicating an inflammatory response or infection in the area surrounding the embedded foreign body.
  • Dental Trauma Situations arising from dental procedures or accidents that result in foreign materials becoming embedded in the bone.

2. Procedure

The procedure for the removal of an embedded foreign body from the dentoalveolar structures involves several critical steps to ensure effective extraction and patient safety. Each step is designed to address the specific challenges presented by the presence of the foreign object.

  • Step 1: Patient Assessment The dental professional begins with a thorough assessment of the patient's oral health and the specific location of the embedded foreign body. This may involve imaging studies, such as X-rays, to visualize the foreign object and determine the best approach for removal.
  • Step 2: Anesthesia Administration Once the assessment is complete, local anesthesia is administered to the patient to ensure comfort during the procedure. This step is crucial as it minimizes pain and allows for a more controlled extraction process.
  • Step 3: Surgical Access The dentist then makes an incision in the gum tissue to gain access to the underlying bone where the foreign body is located. Care is taken to minimize trauma to surrounding tissues while ensuring adequate visibility and access to the area.
  • Step 4: Foreign Body Removal Using specialized instruments, the embedded foreign body is carefully extracted from the bone. The dentist must exercise precision to avoid damaging adjacent structures, such as nerves or blood vessels, during this step.
  • Step 5: Wound Closure After the foreign body has been successfully removed, the surgical site is cleaned, and the gum tissue is sutured closed to promote healing. The dentist may also apply a dressing to protect the area as it heals.

3. Post-Procedure

Following the procedure, patients are typically advised on post-operative care to ensure proper healing and minimize the risk of complications. This may include instructions on pain management, such as the use of over-the-counter analgesics, and recommendations for maintaining oral hygiene without disturbing the surgical site. Patients may also be advised to avoid certain foods and activities that could irritate the area. Follow-up appointments may be scheduled to monitor healing and address any concerns that may arise during the recovery process.

Short Descr REMOVAL FOREIGN BODY JAWBONE
Medium Descr RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE
Long Descr Removal of embedded foreign body from dentoalveolar structures; bone
Status Code Active Code
Global Days 010 - Minor Procedure
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) 0 - 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 Hospital Part B services paid through a comprehensive APC
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) P5E - Ambulatory procedures - other
MUE 1
CCS Clinical Classification 29 - Oral and Dental Services
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.
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.
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.)
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.)
GC This service has been performed in part by a resident under the direction of a teaching physician
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
Date
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2011-01-01 Changed Short description changed.
Pre-1990 Added Code added.
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