D0431 Diagnostic tst detection mucos abnorm
Also known as: oral cancer screening, mucosal biopsy test
Diagnostic test to detect oral mucosal abnormalities including precancerous lesions, oral cancer, and inflammatory conditions.
In Plain Language
mouth sore testing
Clinical Context
Used to detect malignant transformation and identify potentially malignant disorders in oral mucosa for early intervention.
RVU Information
CPT D0431 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
Dental codes (CDT codes) require documentation of the tooth number(s) or area treated, clinical findings, and the procedure performed. Pre-authorization may be required for major restorative, prosthodontic, and oral surgery procedures. Include radiographs when supporting medical necessity.
Specialties
Frequently Asked Questions
What is CPT code D0431?
CPT D0431 (Diagnostic tst detection mucos abnorm) is a D Codes (Dental) code. Diagnostic test to detect oral mucosal abnormalities including precancerous lesions, oral cancer, and inflammatory conditions.
Is D0431 covered by dental insurance?
CPT D0431 is a dental procedure code used by Dentistry, Oral Surgery, Oral Pathology. Used to detect malignant transformation and identify potentially malignant disorders in oral mucosa for early intervention. Coverage depends on your dental insurance plan.
When is CPT D0431 used?
Used to detect malignant transformation and identify potentially malignant disorders in oral mucosa for early intervention.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.