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Official Description

Alveoloplasty, each quadrant (specify)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Alveoloplasty is a dental surgical procedure that involves the smoothing and reshaping of the bone located beneath the tooth socket. This procedure is typically performed in preparation for the insertion of dentures or other dental appliances. The goal of alveoloplasty is to create a more even and stable foundation for these devices, ensuring better fit and comfort for the patient. The procedure can be performed on each quadrant of the mouth, which refers to the four sections that divide the dental arch. By specifying the quadrant, the dental professional can accurately document the extent of the procedure and its specific location within the oral cavity. This preparation is crucial for patients who are transitioning to dentures, as it helps to minimize complications and enhances the overall success of the dental restoration process.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

Alveoloplasty is indicated for several specific conditions and situations where the reshaping of the alveolar bone is necessary. The following are the primary indications for performing this procedure:

  • Preparation for Dentures Alveoloplasty is commonly performed to prepare the jawbone for the placement of complete or partial dentures, ensuring a proper fit and reducing the risk of discomfort.
  • Post-Extraction Bone Reshaping After the extraction of teeth, alveoloplasty may be indicated to smooth the bone contours, facilitating better healing and preparing the site for future dental prosthetics.
  • Correction of Bone Irregularities The procedure may be necessary to correct irregularities in the alveolar ridge that could interfere with the placement of dental appliances or cause discomfort during chewing.

2. Procedure

The procedure of alveoloplasty involves several key steps that ensure the effective reshaping of the alveolar bone. Each step is critical to achieving the desired outcome.

  • Step 1: Anesthesia Administration The procedure begins with the administration of local anesthesia to the patient. This is essential to ensure that the patient remains comfortable and pain-free throughout the surgical process.
  • Step 2: Accessing the Bone Once the anesthesia has taken effect, the dental surgeon gains access to the alveolar bone. This may involve the removal of any remaining tooth fragments or soft tissue that could obstruct the procedure.
  • Step 3: Bone Reshaping The surgeon then uses specialized instruments to smooth and contour the bone beneath the tooth socket. This step is crucial for creating an even surface that will support the dental appliance effectively.
  • Step 4: Hemostasis After the bone has been reshaped, the surgeon ensures that any bleeding is controlled. This may involve the use of sutures or other techniques to promote hemostasis and facilitate healing.
  • Step 5: Post-Operative Care Instructions Finally, the patient is provided with post-operative care instructions to ensure proper healing and to minimize the risk of complications following the procedure.

3. Post-Procedure

After the alveoloplasty procedure, patients can expect a recovery period that may involve some swelling and discomfort. It is important for patients to follow the post-operative care instructions provided by their dental professional, which may include recommendations for pain management, dietary modifications, and oral hygiene practices. Regular follow-up appointments may be scheduled to monitor the healing process and to assess the readiness for the placement of dentures or other dental appliances. Patients should also be advised to avoid strenuous activities and to adhere to any prescribed medications to promote optimal recovery.

Short Descr ALVEOLOPLASTY EACH QUADRANT
Medium Descr ALVEOLOPLASTY EACH QUADRANT SPECIFY
Long Descr Alveoloplasty, each quadrant (specify)
Status Code Restricted Coverage
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) 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) P1G - Major procedure - Other
MUE 4
CCS Clinical Classification 29 - Oral and Dental Services
GC This service has been performed in part by a resident under the direction of a teaching physician
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).
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.
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
GY Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
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).
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.)
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
GA Waiver of liability statement issued as required by payer policy, individual case
GW Service not related to the hospice patient's terminal condition
GZ Item or service expected to be denied as not reasonable and necessary
LL Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)
LR Laboratory round trip
LT Left side (used to identify procedures performed on the left side of the body)
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
RT Right side (used to identify procedures performed on the right side of the body)
SG Ambulatory surgical center (asc) facility service
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
Date
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2025-01-01 Changed Short Description changed.
Pre-1990 Added Code added.
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