D0474 Micro w examination of surgical margins
Also known as: margin assessment, surgical margin evaluation
Microscopic histopathologic examination with detailed evaluation of surgical margins to assess completeness of lesion removal.
In Plain Language
checking if surgery removed all disease
Clinical Context
Used in oral cancer surgery to confirm clear margins and ensure complete removal of malignant or dysplastic tissue.
RVU Information
CPT D0474 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 D0474?
CPT D0474 (Micro w examination of surgical margins) is a D Codes (Dental) code. Microscopic histopathologic examination with detailed evaluation of surgical margins to assess completeness of lesion removal.
Is D0474 covered by dental insurance?
CPT D0474 is a dental procedure code used by Oral Surgery, Oral Pathology. Used in oral cancer surgery to confirm clear margins and ensure complete removal of malignant or dysplastic tissue. Coverage depends on your dental insurance plan.
When is CPT D0474 used?
Used in oral cancer surgery to confirm clear margins and ensure complete removal of malignant or dysplastic tissue.
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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.