Published September 2026
- The wisdom tooth is tilted and stuck under gum and bone behind the last molar
- Sedated or numbed. The gum is folded back and a little bone is trimmed
- The tooth is split so each piece can come out through the small opening
- The pieces are lifted out one at a time
- The gum is stitched. Swelling settles over a week or two
Who usually does it
oral surgeon. Usually referred to an oral surgeon, especially for bony impactions or when sedation is wanted.
One question worth asking
Is sedation included in the quote, or listed separately?
Impacted tooth fully in bone, extra difficult
D7241. Fully buried with a complication such as a root near the nerve or an unusual position.
An impacted tooth is stuck under the gum or bone and cannot come in normally, most often a wisdom tooth. Codes differ by how deeply the tooth is buried: under gum only, partly in bone, fully in bone, or fully in bone with extra difficulty.
The surgeon opens the gum over the tooth, takes away enough bone to reach it, often divides it so it comes out in pieces through a smaller opening, and stitches the gum. Codes climb with how deeply the tooth sits: under gum only, partly in bone, fully in bone, or fully in bone and awkwardly placed. Sedation, when it is used, is billed on its own line. Most plans file this as Major. What they actually pay varies by plan.
Codes for this
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