Is pre-authorization required for D7441?

Many insurance plans require pre-authorization for surgical excision of malignant tumors, so it's advisable to check with the provider.

Can D7441 be used for benign tumors?

No, D7441 is specifically for malignant tumors. Use D7410 or similar codes for benign lesions.

Are there any post-operative care considerations?

Yes, follow-up care is crucial to monitor healing and ensure no recurrence, often involving additional treatments.

What documentation is needed to support billing for D7441?

Comprehensive clinical notes, pathology reports, and surgical documentation are essential for billing D7441.

D7441

Excision Malignant Tumor - CDT Code Guide

Oral & Maxillofacial Surgery/Excision of Intra-Osseous Lesions

Overview

CDT code D7441 refers to the surgical procedure involving the excision of a malignant tumor lesion with a diameter greater than 1.25 cm. This code is categorized under Oral & Maxillofacial Surgery and specifically deals with the excision of intra-osseous lesions. The procedure typically involves the careful removal of cancerous tissue from the oral cavity, ensuring clear margins to prevent recurrence. This is a critical step in the management of oral cancer, often performed by oral surgeons. Patients undergoing this procedure may have been diagnosed with oral malignancies that require surgical intervention to prevent further spread and to facilitate additional treatments such as radiation or chemotherapy.

When to Use This Code

When a patient is diagnosed with an oral malignant tumor larger than 1.25 cm.
In cases where biopsy results confirm malignancy requiring surgical excision.
When imaging studies indicate a tumor size exceeding 1.25 cm in diameter.
As part of a comprehensive treatment plan for oral cancer.
When previous non-surgical treatments have failed to reduce tumor size.

Documentation Requirements

Detailed clinical notes describing the size and location of the tumor.
Pathology report confirming malignancy.
Pre-operative imaging studies supporting the need for excision.
Surgical report detailing the procedure and margins achieved.
Post-operative care instructions and follow-up plan.

Billing Considerations

Ensure accurate documentation of tumor size and malignancy to justify the use of D7441. Consider using modifiers for bilateral procedures or complications. Verify insurance coverage for oral cancer surgeries as policies may vary. Frequency limitations are generally not applicable, but pre-authorization may be required.

Related CDT Codes

D7410 D7411 D7412 D7460 D7461

Frequently Asked Questions

D7441 is used for excision of malignant tumors larger than 1.25 cm, while D7410 is for benign lesions.

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