Is the brush biopsy procedure painful?

The brush biopsy is generally well-tolerated and minimally invasive, causing little to no discomfort for most patients.

How long does it take to receive results from a brush biopsy?

Results typically take a few days to a week, depending on the laboratory processing the sample.

Can a brush biopsy replace a surgical biopsy?

While a brush biopsy is useful for initial screening, a surgical biopsy may still be necessary for definitive diagnosis if results are inconclusive or suspicious.

Are there any risks associated with a brush biopsy?

Risks are minimal, but may include slight bleeding or discomfort at the site of the biopsy.

D7288

Brush Biopsy Sample Collection - CDT Code Guide

Oral & Maxillofacial Surgery/Other Surgical Procedures

Overview

CDT Code D7288 refers to the brush biopsy transepithelial sample collection, a procedure used to collect disaggregated cells from the oral mucosa. This technique involves using a rotational brush to gather cells from the surface of the oral cavity, which are then analyzed for abnormalities. It is a minimally invasive procedure often utilized when there is a need to investigate suspicious lesions or changes in the oral tissues that could indicate precancerous or cancerous conditions. Dental professionals use this method as a diagnostic tool to ensure early detection and treatment of oral pathologies.

When to Use This Code

When a patient presents with unexplained oral lesions or patches.
In cases where there is a need to rule out oral cancer.
When monitoring changes in previously identified oral lesions.
For patients with a history of oral cancer requiring regular surveillance.
When a non-invasive diagnostic method is preferred before considering a surgical biopsy.

Documentation Requirements

Detailed patient history and clinical findings leading to the decision for a brush biopsy.
Description of the lesion or area sampled, including size, location, and appearance.
Informed consent from the patient, acknowledging understanding of the procedure.
Results of the biopsy and any subsequent recommendations or follow-up actions.
Documentation of communication with the patient regarding results and next steps.

Billing Considerations

When billing for D7288, ensure that the procedure is justified by clinical findings and documented thoroughly. Frequency limitations may apply, so verify with the patient's insurance provider. Common modifiers such as -25 for significant, separately identifiable evaluation and management services may be applicable. Always check for specific payer guidelines to ensure coverage.

Related CDT Codes

D7286 D7287 D0472 D0473

Frequently Asked Questions

The primary purpose is to collect cells from the oral mucosa to detect abnormalities, such as precancerous or cancerous changes, in a non-invasive manner.

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