D0472 Gross examination, prep & report
Also known as: gross pathology, tissue examination
Gross histopathologic examination, specimen preparation, and written report of diagnostic tissue samples.
In Plain Language
microscopic examination of tissue
Clinical Context
Used for histologic diagnosis of oral lesions, tumors, and inflammatory conditions to guide clinical management.
RVU Information
CPT D0472 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 D0472?
CPT D0472 (Gross examination, prep & report) is a D Codes (Dental) code. Gross histopathologic examination, specimen preparation, and written report of diagnostic tissue samples.
Is D0472 covered by dental insurance?
CPT D0472 is a dental procedure code used by Oral Pathology, Dentistry. Used for histologic diagnosis of oral lesions, tumors, and inflammatory conditions to guide clinical management. Coverage depends on your dental insurance plan.
When is CPT D0472 used?
Used for histologic diagnosis of oral lesions, tumors, and inflammatory conditions to guide clinical management.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.