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Removal of residual tooth roots
(cutting procedure) – When to use D7250

There is some confusion over the definition and usage of procedure code D7250, especially by general practitioners. The American Dental Association’s CDT manual defines code D7250 as “Surgical removal of residual roots (cutting procedure), includes cutting of soft tissue and bone, removal of tooth structure and closure.

Residual roots” do not represent a current extraction of a tooth, but of root remnants left from a previous extraction. If such roots exist, then a surgical flap, removal of bone, and removal of the root remnants should be documented in the clinical record.

If the crown of the tooth has been fractured or destroyed by caries, and the removal of the root is performed, the appropriate ADA code is D7140 (extraction, erupted tooth or exposed root) inclusive of elevation and forceps removal. If, in addition to any flap, bone removal or sectioning of the tooth/roots required, the appropriate code would be D7210 (surgical extraction code).