D7414 — Excision of malignant lesion — greater than 1.25 cm
D7414 removes a malignant lesion larger than 1.25 centimetres.
This is one of eleven closely related biopsy and lesion excision codes. The treatment is explained in full in the biopsy and lesion excision guide — this page is about what makes this particular code different.
This page explains what that code number commits the office to, what it usually costs, how plans treat it, and — the part that causes most of the confusion — how it differs from the codes sitting immediately either side of it.
What D7414 specifies
Size — greater than 1.25 centimetres. A larger lesion means wider margins, more closure and a longer appointment, and the measured dimension has to appear in the record to support the code.
Told apart from the codes it is confused with
D7413 — Excision of malignant lesion — up to 1.25 cm: It is the small-lesion version.
D7415 — Excision of malignant lesion — complicated: It is the complicated variant, requiring a supporting narrative.
D7412 — Excision of benign lesion — complicated: It is the complicated variant, requiring a supporting narrative.
D7411 — Excision of benign lesion — greater than 1.25 cm: It is the same procedure with one word changed: benign rather than malignant.
D7414 sits in a group of eleven codes in total; the remainder are linked at the foot of this page. None of these are interchangeable, even though they sound as though they might be. Checking that the code on your estimate is the one that matches the planned treatment takes a minute and prevents most billing surprises.
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 D7414
D7414 — what is it?
Excision of malignant lesion, greater than 1.25 cm, reported under a single oral and maxillofacial surgery code.
What should I expect to pay for D7414?
Between $1,100–$2,800 in most practices — and that is the figure before any benefit is applied, not what you would pay at the desk.
How do dental plans handle D7414?
Usually yes, as basic / major oral surgery treatment at typically 70–80% — but coverage turns on your own policy, its annual maximum and any waiting period.
What is the difference between D7414 and D7413?
D7413 is excision of malignant lesion, up to 1.25 cm: it is the small-lesion version. Because that is the only difference, a reviewer who disagrees with it simply reprices the claim to D7413 rather than refusing it.
Also known as: oral biopsy, mouth lesion, oral cancer, lesion excision, pathology.