D7415 — Excision of malignant lesion — complicated
D7415 removes a malignant lesion whose excision was complicated by its site or extent.
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.
The detail below covers what the code obliges the record to show, the range of fees, the likely insurance outcome, and a comparison drawn code by code.
What D7415 specifies
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.
How D7415 differs from its neighbours
D7414 — Excision of malignant 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.
D7412 — Excision of benign lesion — complicated: It is the same procedure with one word changed: benign rather than malignant.
D7411 — Excision of benign lesion — greater than 1.25 cm: It is the straightforward variant.
D7415 sits in a group of eleven codes in total; the remainder are linked at the foot of this page. Two of these codes on one estimate is not necessarily an error, but it is always worth asking what each line is for.
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 D7415
What is D7415 on my dental bill?
D7415 records excision of malignant lesion, complicated — one of the oral and maxillofacial surgery codes.
How much does D7415 cost?
Plan for $1,500–$4,000 as the full fee. Two practices a few miles apart can sit at opposite ends of that range for the same work.
Will my plan pay for D7415?
Expect basic / major oral surgery handling — typically 70–80%. Submitting an estimate first turns that percentage into a number you can rely on.
What is the difference between D7415 and D7414?
D7414 is excision of malignant 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.