D7830 — Manipulation under anesthesia (TMJ)
D7830 manipulates the joint while the patient is anaesthetised, to free a joint that will not move under normal conditions.
There are 22 codes for temporomandibular joint treatment and they are not interchangeable. This page covers this one; the temporomandibular joint treatment guide covers the treatment they all share.
What follows: the specifics built into the number, the money, the benefit treatment, and the line separating it from the codes it is easiest to confuse it with.
Where the line falls between D7830 and the rest
D7820 — Closed reduction of dislocation (TMJ): It puts a dislocated jaw back in place by hand, with no surgery.
D7840 — Condylectomy (TMJ): It removes the condyle, the ball at the top of the lower jaw, where disease has destroyed it.
D7810 — Open reduction of dislocation (TMJ): It opens the joint surgically to reduce a dislocation that cannot be put back by manipulation.
D7850 — Surgical discectomy, with/without implant (TMJ): It removes the disc from inside the joint, with or without replacing it with an implant.
D7830 sits in a group of 22 codes in total; the remainder are linked at the foot of this page. It is worth asking the practice to point to which of these applies. The fees are not close, and the wording is, which is precisely the combination that produces disputed bills.
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 D7830
What procedure is D7830?
Manipulation under anesthesia, tmj, reported under a single oral and maxillofacial surgery code.
How much does D7830 cost?
Between $600–$1,800 in most practices — and that is the figure before any benefit is applied, not what you would pay at the desk.
How do dental plans handle D7830?
Expect medical / dental — often excluded handling — 0–50%. Submitting an estimate first turns that percentage into a number you can rely on.
What is the difference between D7830 and D7820?
D7820 is closed reduction of dislocation, TMJ: it puts a dislocated jaw back in place by hand, with no surgery. Because they describe different work, D7830 and D7820 can legitimately appear on the same treatment plan — they are not alternatives to choose between.
Also known as: TMJ, TMD, jaw joint pain, arthrocentesis, jaw clicking, occlusal orthotic.