Excision of Malignant Tumor - CDT Code Guide
Overview
CDT code D7440 pertains to the excision of a malignant tumor with a lesion diameter of up to 1.25 cm. This procedure is categorized under Oral & Maxillofacial Surgery and involves the surgical removal of cancerous growths within the oral cavity. Typically, this code is used when a patient presents with a small malignant lesion that requires precise surgical intervention to prevent further spread of cancer. The procedure is crucial in managing oral cancers and is often part of a broader treatment plan that may include additional surgical, radiation, or chemotherapy interventions. Dental professionals must carefully assess the lesion's size and malignancy to determine the appropriate surgical approach.
When to Use This Code
- When a patient has a confirmed malignant tumor in the oral cavity with a diameter of up to 1.25 cm.
- During a surgical procedure to remove a small cancerous lesion detected in routine oral examinations.
- In cases where biopsy results indicate malignancy, necessitating immediate excision.
- When planning a comprehensive treatment plan for oral cancer that includes surgical excision.
- For lesions located in the intra-osseous regions of the jaw requiring precise removal.
Documentation Requirements
- Detailed clinical notes describing the lesion's size, location, and malignancy.
- Pathology report confirming the diagnosis of a malignant tumor.
- Pre-operative and post-operative imaging or photographs of the lesion.
- Surgical report outlining the procedure, including techniques and instruments used.
- Patient consent forms acknowledging understanding of the procedure and potential risks.
- Follow-up care instructions and any additional treatment plans.
Billing Considerations
When billing for D7440, ensure that the lesion's size and malignancy are well-documented. This code is typically not subject to frequency limitations but may require prior authorization from insurance providers. Common modifiers include those indicating the location and extent of the procedure. Verify with the patient's insurance for coverage specifics, as some plans may have restrictions or require additional documentation.
Related CDT Codes
Frequently Asked Questions
The lesion must have a diameter of up to 1.25 cm to qualify for billing under code D7440.
Need help with dental coding?
Our AI-powered assistant can answer your CDT code questions instantly.