D7413 Excision malignant lesion<=1.25c
Also known as: malignant lesion excision limited, cancer excision small
Excision of a malignant oral lesion up to 1.25 centimeters with adequate margins and potential reconstruction.
In Plain Language
removal of cancer in mouth up to 1.25 cm
Clinical Context
Surgical excision of malignant oral lesions up to 1.25 cm with adequate oncologic margins. May require bone removal and reconstruction depending on depth and location.
RVU Information
CPT D7413 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 D7413?
CPT D7413 (Excision malignant lesion<=1.25c) is a D Codes (Dental) code. Excision of a malignant oral lesion up to 1.25 centimeters with adequate margins and potential reconstruction.
Is D7413 covered by dental insurance?
CPT D7413 is a dental procedure code used by Oral Surgery, Oral Pathology, Oncology. Surgical excision of malignant oral lesions up to 1.25 cm with adequate oncologic margins. May require bone removal and reconstruction depending on depth and location. Coverage depends on your dental insurance plan.
When is CPT D7413 used?
Surgical excision of malignant oral lesions up to 1.25 cm with adequate oncologic margins. May require bone removal and reconstruction depending on depth and location.
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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.