2025 CPT code 41874
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Other Procedures on the Dentoalveolar Structures Surgical Procedures on the Dentoalveolar Structures Feed
Alveoloplasty, each quadrant (specify).
Modifiers may be applicable depending on the circumstances of the procedure. Consult the CPT manual and payer guidelines for appropriate modifier usage.
Medical necessity for alveoloplasty is established when there is a demonstrable need for the procedure to improve the fit of a prosthetic device or to correct significant bone deformities that compromise oral health or function. This is typically documented through clinical examination, radiographic findings, and the treatment plan developed by the dentist or oral surgeon.
The clinical responsibility lies with the dentist or oral surgeon performing the procedure. This includes assessment of the patient's needs, planning the surgical approach, executing the alveoloplasty, and providing post-operative care.
- Surgical Procedures on the Dentoalveolar Structures
- Surgical Procedures on the Dentoalveolar Structures > Other Procedures on the Dentoalveolar Structures
In simple words: Alveoloplasty is a dental procedure to smooth out the bone where teeth used to be. This makes it easier to fit dentures or correct bone irregularities caused by gum disease. The dentist makes small cuts in the gum, smooths the bone, and then stitches up the gums.
Alveoloplasty is a surgical procedure performed to reshape the alveolar process (the bony ridge containing tooth sockets) in the jaw.This is often done to create a smoother surface for improved denture fit or to correct deformities resulting from periodontal disease. The procedure involves accessing the alveolus through incisions in the oral mucosa, smoothing the bone contours using files, drills, or osteotomes, and finally closing the incisions with sutures.
Example 1: A patient presents with sharp, irregular bone edges in the upper jaw after tooth extraction, making it difficult for a denture to fit comfortably.Alveoloplasty is performed to smooth the bone, allowing for a better-fitting denture., A patient has experienced significant bone loss due to advanced periodontal disease.Alveoloplasty is performed to reshape the alveolar ridge and prepare the site for a dental implant., A patient requires a maxillary bone graft for dental implant placement. As part of the procedure, alveoloplasty is necessary to prepare the site to receive the bone graft material, improving integration and stability.
* Thorough clinical examination documenting the need for alveoloplasty (e.g., sharp bone spicules interfering with denture fit, significant bone deformity secondary to periodontal disease).* Preoperative radiographs (panoramic and/or periapical) showing the extent of bone involvement.* Operative report detailing the procedure performed, including incisions, bone contouring techniques, and suture placement.* Postoperative instructions and follow-up care plan.
** The code 41874 is used for alveoloplasty in each quadrant of the mouth.The specific quadrant(s) must be specified in the claim documentation.If multiple quadrants are addressed, each quadrant should be billed separately.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided text.Consult a current fee schedule or relative value unit database for this information.
- Global Days: This information is not provided. The global period may vary depending on payer and other factors.
- Payment Status: Active
- Modifier TC rule: The applicability of a technical component (TC) modifier is dependent on the specific circumstances of the procedure and the involvement of multiple providers.This must be determined based on specific payer guidelines and the circumstances of the procedure.
- Fee Schedule: This information is not available in the provided text. Consult a historical fee schedule database for this information.
- Specialties:Oral and Maxillofacial Surgery, Periodontics, General Dentistry
- Place of Service:Office, Ambulatory Surgical Center