Corticotomy — Four or More Tooth Spaces (D7297) — National Rates

About D7297 — Corticotomy — Four or More Tooth Spaces

Corticotomy is a surgical procedure involving the cutting of the cortical bone surrounding the roots of teeth, typically performed in orthodontic cases to facilitate tooth movement. Clinical indications for D7297 include cases where traditional orthodontic methods are insufficient, such as severe crowding or impacted teeth. Documentation for billing should include a detailed report of the surgical procedure, pre-operative and post-operative radiographs, and a narrative explaining the need for the corticotomy. Reimbursement for this procedure can vary significantly by payor and state, with some insurance plans covering a portion of the cost while others may classify it as an experimental procedure, leading to denials or reduced payments.

Reimbursement rates for D7297 vary significantly by state, payor, and provider network. The national average negotiated rate is $182. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.