Removal of Cyst/Tumor - CDT Code Guide
Overview
CDT code D7450 pertains to the removal of a benign odontogenic cyst or tumor with a lesion diameter up to 1.25 cm. This procedure is typically performed by an oral and maxillofacial surgeon and involves the surgical excision of intra-osseous lesions that are non-cancerous. The goal is to remove the lesion completely to prevent potential complications such as infection or interference with normal oral function. This procedure is often necessary when a patient presents with symptoms such as swelling, pain, or radiographic evidence of a lesion in the jaw. Clinically, this code is used when the lesion is confirmed to be benign and is of a size that does not exceed 1.25 cm in diameter.
When to Use This Code
- Patient presents with a radiographically confirmed benign odontogenic cyst less than 1.25 cm.
- Surgical removal of a small benign tumor in the jaw is required.
- Lesion is causing discomfort or potential risk of infection.
- Pre-operative imaging confirms the lesion is intra-osseous and benign.
- Follow-up procedure to ensure complete removal of a previously identified benign lesion.
Documentation Requirements
- Pre-operative imaging confirming the size and nature of the lesion.
- Detailed surgical notes describing the excision procedure.
- Pathology report confirming the benign nature of the lesion.
- Patient consent forms for the surgical procedure.
- Post-operative care instructions and follow-up plan.
Billing Considerations
Ensure accurate documentation of the lesion's size and benign nature. Verify with insurance for coverage specifics, as some plans may require pre-authorization. Common modifiers may include those indicating bilateral procedures or unusual circumstances. Frequency limitations typically do not apply, but always check the patient's insurance policy.
Related CDT Codes
Frequently Asked Questions
D7450 is used for lesions up to 1.25 cm, while D7460 is for larger lesions over 1.25 cm.
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