When a patient has tori removed from the lower left and lower right quadrant, is it appropiate to report D7473 (Removal of Torus Mandibularis) twice, or is a single use of the code intended to cover one or more tori?

Answer

Claims for tori removal should indicate the quadrant treated. If multiple quadrants are involved, use separate lines for each quadrant. Benefits are often limited to one arch per lifetime. Also note that some dental carriers require a rejection from the patient’s medical plan before considering payment under the dental plan.