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D7286 Biopsy of oral tissue soft

D Codes (Dental)

Also known as: soft tissue biopsy, mucosal biopsy, gingival biopsy

Biopsy of soft oral tissue (mucosa, gingiva, etc.), including removal of tissue for histopathological examination.

In Plain Language

sample of soft tissue from mouth; gum or mouth lining tissue sample

Clinical Context

Used for biopsy of soft oral tissues to diagnose lesions, ulcerations, or pathological conditions. Common indications include suspected malignancy, chronic ulcers, or undiagnosed oral lesions.

RVU Information

CPT D7286 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

Oral SurgeryOral PathologyPeriodontology

Frequently Asked Questions

What is CPT code D7286?

CPT D7286 (Biopsy of oral tissue soft) is a D Codes (Dental) code. Biopsy of soft oral tissue (mucosa, gingiva, etc.), including removal of tissue for histopathological examination.

Is D7286 covered by dental insurance?

CPT D7286 is a dental procedure code used by Oral Surgery, Oral Pathology, Periodontology. Used for biopsy of soft oral tissues to diagnose lesions, ulcerations, or pathological conditions. Common indications include suspected malignancy, chronic ulcers, or undiagnosed oral lesions. Coverage depends on your dental insurance plan.

When is CPT D7286 used?

Used for biopsy of soft oral tissues to diagnose lesions, ulcerations, or pathological conditions. Common indications include suspected malignancy, chronic ulcers, or undiagnosed oral lesions.

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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.