D7858 Tmj reconstruction
Also known as: TMJ reconstruction, joint reconstruction
Temporomandibular joint reconstruction (surgical reconstruction of severely damaged/destroyed joint).
In Plain Language
rebuilding of damaged jaw joint
Clinical Context
Complex surgical reconstruction of the temporomandibular joint for severe pathology including ankylosis, osteoarthritis, trauma, or tumor. May require grafts or prosthetics.
RVU Information
CPT D7858 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 D7858?
CPT D7858 (Tmj reconstruction) is a D Codes (Dental) code. Temporomandibular joint reconstruction (surgical reconstruction of severely damaged/destroyed joint).
Is D7858 covered by dental insurance?
CPT D7858 is a dental procedure code used by Oral Surgery, TMJ Specialist. Complex surgical reconstruction of the temporomandibular joint for severe pathology including ankylosis, osteoarthritis, trauma, or tumor. May require grafts or prosthetics. Coverage depends on your dental insurance plan.
When is CPT D7858 used?
Complex surgical reconstruction of the temporomandibular joint for severe pathology including ankylosis, osteoarthritis, trauma, or tumor. May require grafts or prosthetics.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.