Can D7460 be used for odontogenic cysts?

No, D7460 is specifically for nonodontogenic cysts. Use D7450 or D7451 for odontogenic cysts.

Is prior authorization needed for D7460?

It depends on the patient's insurance plan. Always check with the insurer for specific requirements.

Are there any post-operative considerations for D7460?

Yes, patients should follow post-operative care instructions to ensure proper healing and minimize complications.

What documentation is essential for billing D7460?

Include clinical notes, imaging, pathology reports, and surgical details to support the claim.

D7460

Removal of Benign Cyst - CDT Code Guide

Oral & Maxillofacial Surgery/Excision of Intra-Osseous Lesions

Overview

CDT code D7460 refers to the removal of a benign, nonodontogenic 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 excision of a cyst or tumor that is not related to tooth development. The procedure is crucial for preventing potential complications such as infection or interference with oral function. Patients who undergo this surgery may experience minimal discomfort, and the recovery period is generally short. Clinically, this code is used when a small lesion is identified that requires surgical removal to ensure oral health and functionality.

When to Use This Code

When a patient presents with a small, benign cyst in the jaw not related to tooth development.
During routine dental exams when imaging reveals a nonodontogenic tumor under 1.25 cm.
In cases where a benign lesion is causing discomfort or potential for infection.
When a biopsy confirms the presence of a benign nonodontogenic lesion.
As part of a treatment plan for a patient with a history of benign oral tumors.

Documentation Requirements

Detailed patient history and clinical examination notes.
Radiographic evidence supporting the presence of the lesion.
Pathology report confirming the benign nature of the lesion.
Surgical notes detailing the procedure and lesion size.
Post-operative care instructions and follow-up plan.
Patient consent forms for the surgical procedure.

Billing Considerations

Ensure that the lesion is documented as benign and nonodontogenic. Verify with the patient's insurance for coverage specifics as some plans may require prior authorization. Use appropriate modifiers if the procedure is part of a more extensive surgical treatment. Be aware of frequency limitations, as this code is typically used for one-time excision procedures.

Related CDT Codes

D7471 D7450 D7451 D7461 D7410

Frequently Asked Questions

D7460 is for lesions up to 1.25 cm, while D7461 is used for larger lesions over 1.25 cm.

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