D7410 is the CDT code for the excision of a benign lesion up to 1.25 cm — surgically removing a benign (non-cancerous) lesion (an abnormal growth or area of tissue) in the oral cavity measuring up to 1.25 cm in diameter. It's commonly used to remove non-cancerous growths like fibromas, papillomas, or similar lesions from the soft tissue, and includes sending the tissue for examination to confirm it's benign.
What D7410 means
D7410 covers the excision of a benign lesion up to 1.25 cm. "D" is dental, "74" is this oral surgery (excision of lesions) group, and "10" is this small benign lesion excision. A lesion is an area of abnormal tissue — a growth, lump, or abnormal area. A benign lesion is a non-cancerous one (not malignant — it doesn't invade or spread like cancer). In the mouth, common benign lesions include fibromas (benign growths of fibrous tissue, often from chronic irritation), papillomas (benign wart-like growths), and various other benign growths. Excision is the surgical removal (cutting out) of the lesion. D7410 is for excising a benign lesion that is up to 1.25 cm in diameter (a relatively small lesion). So when a small (up to 1.25 cm) benign lesion needs removing, D7410 reports its excision.
So it's surgically removing a small (up to 1.25 cm) benign (non-cancerous) lesion from the oral tissue.
A benign lesion may be removed for various reasons: it's causing a problem (irritation, interference with function, getting bitten, discomfort), for diagnosis (to confirm what it is — even a benign-appearing lesion is typically removed and examined to confirm the diagnosis), for esthetic reasons, or because it's growing/changing. Excising the lesion removes it (resolving any problem) and provides tissue for examination (the excised lesion is typically sent to a pathology lab to confirm it's benign and identify exactly what it is). D7410 is for benign lesions up to 1.25 cm; it's distinguished by size and nature from: D7411 (benign lesion greater than 1.25 cm), D7412 (benign lesion, complicated — requiring extensive undermining with a flap closure), and D7413/D7414/D7415 (excision of MALIGNANT lesions — by size/complexity). The size (1.25 cm) and the benign vs malignant nature determine the code. (Note: this excision is for soft-tissue lesions; cysts/tumors of the jawbone, odontogenic or not, have their own codes — D7450/D7451/D7460/D7461.) Coverage is under oral surgery benefits; the pathology lab fee is separate. Documentation of the lesion (size, location) and its excision supports the claim.
When it's typically used
D7410 is reported for excising a benign (non-cancerous) lesion up to 1.25 cm in diameter — surgically removing a small benign oral lesion (e.g., a fibroma, papilloma, or similar growth) from the soft tissue, typically sending it for examination to confirm it's benign. It's distinguished by size (up to 1.25 cm) and the benign nature from the larger (D7411), complicated (D7412), and malignant (D7413+) excision codes.
How much does D7410 cost?
Excision of a small benign lesion (up to 1.25 cm) is a modest-to-moderate fee, often roughly 200 to 500 USD depending on region and the location — for surgically removing the lesion (typically with local anesthesia). The pathology lab fee (for examining the removed tissue) is separate (usually a moderate additional cost). The fee reflects the in-office excision.
Is D7410 covered by insurance?
Covered under oral surgery benefits. Documentation of the lesion (its size up to 1.25 cm, location, benign nature) and its excision supports the claim. The pathology lab fee (for examining the tissue) is billed separately (by the lab). It's distinguished from the larger (D7411), complicated (D7412), and malignant (D7413+) excisions. If the lesion is suspected malignant, the situation may involve medical insurance. Verifying coverage helps.
What a benign lesion is
A benign lesion is a non-cancerous growth, and understanding it clarifies what this removes.
A lesion is an area of abnormal tissue — a growth, lump, bump, or abnormal area that's different from the normal surrounding tissue. A benign lesion is one that is non-cancerous (benign) — meaning it's not malignant; it doesn't invade surrounding tissue or spread to other parts of the body (as cancer does). Benign lesions are generally localized, non-aggressive growths. In the oral cavity, common benign lesions include: fibromas — benign growths of fibrous (connective) tissue, often resulting from chronic irritation (e.g., a 'irritation fibroma' from repeated trauma, like cheek-biting), appearing as a firm bump; papillomas — benign wart-like growths (often caused by a virus), with a bumpy/cauliflower-like surface; and various other benign growths (mucoceles, certain other localized lesions, etc.). So a benign lesion is a non-cancerous abnormal growth.
Benign lesions are common in the mouth and are usually not dangerous (they're not cancer). However, they may still warrant removal (discussed next) — for symptoms, diagnosis, or other reasons. D7410 is for excising a small (up to 1.25 cm) benign lesion. Importantly, even a lesion that appears benign is typically examined (after removal) to confirm it's benign (and identify exactly what it is) — since the definitive diagnosis comes from the pathology examination. The dentist/oral surgeon evaluates and excises benign lesions. For patients, understanding what a benign lesion is — a non-cancerous abnormal growth — clarifies what this removes. It's a non-cancerous growth. The dentist removes it. Understanding this helps patients see that a benign lesion is an area of abnormal tissue (a growth, lump, or bump) that is non-cancerous (benign) — not malignant, so it doesn't invade or spread like cancer — with common oral examples being fibromas (benign fibrous growths, often from chronic irritation), papillomas (benign wart-like growths), and other benign growths, which D7410 excises (for a lesion up to 1.25 cm), with the removed tissue typically examined to confirm the benign diagnosis.
Why a benign lesion is excised
A benign lesion is excised for several reasons, and understanding them clarifies when it applies.
Even though a benign lesion isn't cancerous, it may be excised (removed) for several reasons — and understanding them clarifies when it applies. Reasons to excise a benign lesion: symptoms/problems — the lesion is causing a problem: irritation, getting repeatedly bitten or traumatized (a common issue with growths in the mouth), interfering with function (chewing, speaking, a denture), discomfort, or being a nuisance; diagnosis (confirmation) — to confirm what the lesion is; even a benign-appearing lesion is typically removed and sent for pathology examination to confirm it's benign (and rule out anything more serious) and identify the specific type — getting a definitive diagnosis is an important reason for excision; growth or change — the lesion is growing, changing, or new (any changing/growing lesion warrants evaluation and often removal/biopsy); esthetics — the lesion is visible and a cosmetic concern; or to remove an irritation source — if the lesion is from chronic irritation (like a fibroma), removing it (and the irritation cause) resolves it. So a benign lesion is excised for symptoms, diagnosis, change, or esthetics.
The diagnostic reason is particularly important — because the only way to be certain a lesion is benign (and what type) is to remove it and examine it (a clinical appearance can suggest benign, but the pathology confirms it). So excision serves both to remove the lesion (resolving problems) and to obtain the diagnosis. For a lesion that's clearly problematic or uncertain, excision is warranted. The dentist/surgeon excises the lesion for these reasons. For patients, understanding why a benign lesion is excised — for symptoms, diagnosis, change, or esthetics — clarifies when it applies. It's removed for these reasons. The dentist excises it. Understanding this helps patients see that a benign lesion is excised for several reasons — it's causing symptoms/problems (irritation, getting bitten, interfering with function, discomfort), to confirm the diagnosis (even benign-appearing lesions are typically removed and examined to be certain and identify the type — an important reason), because it's growing/changing/new, or for esthetics — with the diagnostic reason being particularly important (the definitive diagnosis comes from examining the removed tissue), so excision both removes the lesion (resolving problems) and provides the diagnosis.
The excision procedure and pathology
Excising a lesion includes a pathology examination, and understanding this clarifies what's involved.
Excising a benign lesion (D7410) is a surgical procedure that includes sending the tissue for examination. The procedure generally involves: anesthesia — numbing the area (local anesthesia); excising the lesion — surgically removing the lesion (cutting it out) — typically excising it completely, with a small margin of normal tissue around it (to ensure complete removal), down to an appropriate depth; closing — closing the site (suturing the edges, for a small excision usually straightforward — a more involved closure would be the 'complicated' code D7412); sending for pathology — sending the excised lesion to a pathology lab for examination (histopathology) — this is a key part: the pathologist examines the tissue under a microscope to confirm the diagnosis (that it's benign, and the specific type), and to confirm it was completely removed; and aftercare — post-op care, healing, and reviewing the pathology results (with the patient). So the procedure removes the lesion and obtains its diagnosis.
The pathology examination is an important component — it provides the definitive diagnosis (confirming benign, identifying the type, and confirming complete excision). For a benign lesion, the pathology typically confirms the benign nature (providing reassurance and a definitive answer). The pathology lab fee is separate (billed by the lab, not included in D7410). The procedure itself (the excision) is typically a relatively minor in-office procedure under local anesthesia, with the small site healing over a couple of weeks. After excision and the pathology confirmation, the lesion is removed and diagnosed. The oral surgeon/dentist performs the excision and reviews the pathology. For patients, understanding that excising a lesion includes a pathology examination — removing the lesion and getting its diagnosis — clarifies what's involved. It removes and diagnoses the lesion. The dentist performs it (with pathology). Understanding this helps patients see that excising a benign lesion (D7410) is a surgical procedure that includes a pathology examination — numbing the area, surgically removing the lesion (typically with a small margin), closing the site, and importantly sending the tissue to a pathology lab for examination (to confirm the benign diagnosis, identify the type, and confirm complete removal) — a relatively minor in-office procedure under local anesthesia, with the pathology providing the definitive diagnosis (the lab fee being separate), and the results reviewed with the patient after.
Lesion excision codes by size and nature
Lesion excision codes vary by size and benign/malignant nature, and understanding this clarifies where D7410 fits.
The lesion excision codes are organized by the lesion's size and nature (benign vs malignant) — and understanding this clarifies where D7410 fits. For benign lesions: D7410 — excision of benign lesion up to 1.25 cm: a small benign lesion (this code); D7411 — excision of benign lesion greater than 1.25 cm: a larger benign lesion; D7412 — excision of benign lesion, complicated: a benign lesion excision requiring extensive undermining with an advancement or rotational flap closure (a more involved closure). For malignant lesions (a separate, more serious category): D7413 — excision of malignant lesion up to 1.25 cm; D7414 — excision of malignant lesion greater than 1.25 cm; D7415 — excision of malignant lesion, complicated. (And cysts/tumors of the jaw have their own codes — D7450/D7451 odontogenic, D7460/D7461 nonodontogenic; malignant tumors D7440/D7441.) So the codes distinguish the size (up to vs over 1.25 cm), the complexity (complicated closure), and critically the benign vs malignant nature.
D7410 specifically is the small (up to 1.25 cm), benign, straightforward excision. The dentist/surgeon codes by: benign vs malignant (D741x for benign, D741x malignant being D7413-D7415 — based on the pathology/clinical assessment), size (up to vs over 1.25 cm), and complexity (whether a complicated flap closure was needed → D7412/D7415). For D7410, the lesion is benign, up to 1.25 cm, and excised straightforwardly. Often the nature (benign vs malignant) is confirmed by pathology — so the coding reflects the lesion's characteristics. The malignant codes (D7413+) are for confirmed/treated malignancies (a more serious situation, often involving medical insurance and oncology care). So D7410 is the small benign excision. The surgeon codes by size and nature. For patients, understanding that the lesion excision codes vary by size and nature, with D7410 being the small benign one, clarifies where it fits. It's the small benign excision. The surgeon codes by size/nature. Understanding this helps patients see that the lesion excision codes are organized by size (up to 1.25 cm vs greater), complexity (complicated closure: D7412/D7415), and critically the benign vs malignant nature (benign: D7410/D7411/D7412, vs malignant: D7413/D7414/D7415) — with D7410 being the small (up to 1.25 cm), benign, straightforward excision — so the dentist/surgeon codes by the lesion's nature, size, and excision complexity, with the malignant codes representing a separate, more serious category.
Frequently asked questions
- What is the D7410 dental code?
- It's the excision of a benign lesion up to 1.25 cm — surgically removing a benign (non-cancerous) oral lesion (an abnormal growth like a fibroma, papilloma, or similar) up to 1.25 cm in diameter from the soft tissue, typically sending it for examination to confirm it's benign. It's the small benign excision code.
- What is a benign lesion?
- An area of abnormal tissue (a growth, lump, or bump) that is non-cancerous (benign) — not malignant, so it doesn't invade or spread like cancer. Common oral examples are fibromas (benign fibrous growths, often from chronic irritation), papillomas (wart-like growths), and other benign growths.
- Why is a benign lesion removed?
- For several reasons — it's causing symptoms (irritation, getting bitten, interfering with function), to confirm the diagnosis (even benign-appearing lesions are typically removed and examined to be certain and identify the type — an important reason), because it's growing/changing, or for esthetics. Excision both removes the lesion and provides the diagnosis.
- Is the lesion examined after removal?
- Yes — the excised lesion is typically sent to a pathology lab for examination, which confirms the benign diagnosis, identifies the specific type, and confirms complete removal. This pathology examination provides the definitive diagnosis. The lab fee is billed separately (by the lab).
- How much does it cost?
- Often around 200 to 500 USD for surgically removing a small benign lesion (typically with local anesthesia). The pathology lab fee (for examining the tissue) is separate (a moderate additional cost). The fee reflects the in-office excision.
- How is it different from the other excision codes?
- The lesion excision codes vary by size (D7410 up to 1.25 cm, D7411 over 1.25 cm), complexity (D7412 complicated, with a flap closure), and critically benign vs malignant (benign: D7410-D7412, vs malignant: D7413-D7415). D7410 is the small, benign, straightforward excision.
This page is an independent, plain-language explanation for general information only. It is not billing, coding, or clinical advice. For the official CDT descriptor and current-year wording, refer to the American Dental Association.