D7260 Oral antral fistula closure
Also known as: oral-antral fistula closure, antral fistula repair, sinus perforation closure
Closure of an oral-antral fistula (abnormal opening between oral cavity and maxillary sinus) through surgical repair.
In Plain Language
closing hole between mouth and sinus; sinus opening repair
Clinical Context
Used for closure of an abnormal connection between the oral cavity and maxillary sinus, typically occurring after tooth extraction or trauma. Common indications include post-extraction defects or tooth loss complications.
RVU Information
CPT D7260 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
Dental codes (CDT codes) require documentation of the tooth number(s) or area treated, clinical findings, and the procedure performed. Pre-authorization may be required for major restorative, prosthodontic, and oral surgery procedures. Include radiographs when supporting medical necessity.
Specialties
Frequently Asked Questions
What is CPT code D7260?
CPT D7260 (Oral antral fistula closure) is a D Codes (Dental) code. Closure of an oral-antral fistula (abnormal opening between oral cavity and maxillary sinus) through surgical repair.
Is D7260 covered by dental insurance?
CPT D7260 is a dental procedure code used by Oral Surgery, Periodontology. Used for closure of an abnormal connection between the oral cavity and maxillary sinus, typically occurring after tooth extraction or trauma. Common indications include post-extraction defects or tooth loss complications. Coverage depends on your dental insurance plan.
When is CPT D7260 used?
Used for closure of an abnormal connection between the oral cavity and maxillary sinus, typically occurring after tooth extraction or trauma. Common indications include post-extraction defects or tooth loss complications.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.