D7680 — Facial bones — complicated reduction with fixation and multiple surgical approaches
One of the codes covering the surgical treatment of facial fractures and associated wounds. D7680 is the complicated-reduction version.
It is one of 24 codes covering facial fracture treatment and wound repair. For the procedure itself rather than the code, see the facial fracture treatment and wound repair guide; for the code, read on.
Below is what the code actually specifies, the fee range to expect, how dental benefits normally handle it, and the specific differences between it and the codes it is most often confused with.
What D7680 specifies
Bone — several facial bones. This is the multi-site code: fractures across more than one facial bone treated in a single operation, through more than one approach. It replaces reporting each bone separately.
Technique — complicated reduction with fixation. This code is for the cases that do not fit the single-site pattern: multiple fractures, multiple surgical approaches in one operation, and internal fixation. It is reported for the whole undertaking rather than per bone, and it always needs an operative report.
Fracture type — simple (closed). The overlying skin and mucosa are intact, so the fracture site is not contaminated. These are the lower-numbered fracture codes and the lower fees; the same bone treated as a compound fracture has a separate code higher in the range.
Complexity — the "complicated" designation. It has to be earned in the written record: unusual anatomy, extensive tissue involvement, or the need for additional surgical access. Without that narrative the claim reverts to the simple code.
D7680 against the codes beside it
D7671 — Alveolus — open reduction, may include stabilization of teeth: It is the same procedure on the tooth-bearing ridge rather than the facial bones, and by open reduction rather than complicated.
D7670 — Alveolus — closed reduction, may include stabilization of teeth: It is the same procedure on the tooth-bearing ridge rather than the facial bones, and by closed reduction rather than complicated.
D7660 — Malar and/or zygomatic arch — closed reduction: It is the same procedure on the cheekbone rather than the facial bones, and by closed reduction rather than complicated.
D7650 — Malar and/or zygomatic arch — open reduction: It is the same procedure on the cheekbone rather than the facial bones, and by open reduction rather than complicated.
D7680 sits in a group of 24 codes in total; the remainder are linked at the foot of this page. These distinctions exist because they change what was actually done. A claim for D7680 when the record describes one of the others is not a technicality — it is the difference between a paid claim and a returned one.
Every code in this group
These codes describe the same broad procedure and differ in one respect each. Each has its own page with its own fee range and coverage notes.
Questions about D7680
D7680 — what is it?
It is the entry for facial bones, complicated reduction with fixation and multiple surgical approaches. A practice cannot use it for anything broader than that, which is what makes the code useful to you.
What should I expect to pay for D7680?
The usual range is $2,000–$9,000. Anything well outside it is worth a question rather than an assumption.
Will my plan pay for D7680?
Usually yes, as medical / oral surgery treatment at variable — but coverage turns on your own policy, its annual maximum and any waiting period.
What is the difference between D7680 and D7671?
D7671 is alveolus, open reduction, may include stabilization of teeth: it is the same procedure on the tooth-bearing ridge rather than the facial bones, and by open reduction rather than complicated. The rest of the procedure is the same, which is why the two get substituted for one another on estimates.
Also known as: jaw fracture, facial trauma, open reduction, closed reduction, maxillofacial injury.