D7412 — Excision of benign lesion — complicated
D7412 removes a benign lesion whose site, size or depth made the excision complicated, and is reported with a narrative.
There are eleven codes for biopsy and lesion excision and they are not interchangeable. This page covers this one; the biopsy and lesion excision guide covers the treatment they all share.
Below is what the code actually specifies, the fee range to expect, how dental benefits normally handle it, and the specific differences between it and the codes it is most often confused with.
What the code commits to
Complexity — the "complicated" designation. It has to be earned in the written record: unusual anatomy, extensive tissue involvement, or the need for additional surgical access. Without that narrative the claim reverts to the simple code.
D7412 compared with its closest relatives
D7411 — Excision of benign lesion — greater than 1.25 cm: It is the straightforward variant.
D7413 — Excision of malignant lesion — up to 1.25 cm: It is the straightforward variant.
D7410 — Excision of benign lesion — up to 1.25 cm: It is the straightforward variant.
D7414 — Excision of malignant lesion — greater than 1.25 cm: It is the straightforward variant.
D7412 sits in a group of eleven codes in total; the remainder are linked at the foot of this page. If an estimate lists D7412 and the treatment that follows matches a neighbouring code instead, the office has to resubmit — which delays the payment rather than increasing it.
Every code in this group
These codes describe the same broad procedure and differ in one respect each. Each has its own page with its own fee range and coverage notes.
Questions about D7412
What does dental code D7412 mean?
It is the entry for excision of benign lesion, complicated. A practice cannot use it for anything broader than that, which is what makes the code useful to you.
What is the typical fee for D7412?
Between $900–$2,200 in most practices — and that is the figure before any benefit is applied, not what you would pay at the desk.
Does dental insurance cover D7412?
Typically, yes — basic / major oral surgery benefits, typically 70–80%. What varies between plans is the frequency limit rather than whether the procedure is covered at all.
What is the difference between D7412 and D7411?
D7411 is excision of benign lesion, greater than 1.25 cm: it is the straightforward variant. That one difference is the whole distinction; the chair time, the materials and the appointment sequence are the same either way.
Also known as: oral biopsy, mouth lesion, oral cancer, lesion excision, pathology.