D7451 — Removal of benign odontogenic cyst or tumor — greater than 1.25 cm
D7451 removes a cyst or benign tumour of tooth-forming origin measuring more than 1.25 centimetres, which usually means removing bone with it.
It is one of eight codes covering cyst and tumour removal. For the procedure itself rather than the code, see the cyst and tumour removal guide; for the code, read on.
What the number specifies, what it costs, what your plan is likely to do with it, and the named differences between it and the codes around it — in that order.
The conditions built into D7451
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.
Not to be confused with
D7450 — Removal of benign odontogenic cyst or tumor — up to 1.25 cm: It is the small-lesion version.
D7460 — Removal of benign nonodontogenic cyst or tumor — up to 1.25 cm: It is the small-lesion version.
D7461 — Removal of benign nonodontogenic cyst or tumor — greater than 1.25 cm: It is the same procedure with one word changed: nonodontogenic rather than odontogenic.
D7490 — Radical resection of maxilla or mandible: It is radical resection of part of the upper or lower jaw, the major cancer-surgery code in this range.
D7451 sits in a group of eight codes in total; the remainder are linked at the foot of this page. A single word separates several of these codes, and a payer reads that word literally. If the record does not support D7451 specifically, the claim comes back — usually repriced to whichever neighbouring code the reviewer thinks was actually performed.
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.
| Code | Procedure |
|---|---|
| D7451 | Removal of benign odontogenic cyst or tumor — greater than 1.25 cm — this page |
| D7450 | Removal of benign odontogenic cyst or tumor — up to 1.25 cm |
| D7460 | Removal of benign nonodontogenic cyst or tumor — up to 1.25 cm |
| D7461 | Removal of benign nonodontogenic cyst or tumor — greater than 1.25 cm |
| D7490 | Radical resection of maxilla or mandible |
| D7509 | Marsupialization of odontogenic cyst |
| D7530 | Removal of foreign body — from mucosa, skin, or subcutaneous alveolar tissue |
| D7540 | Removal of reaction-producing foreign bodies — musculoskeletal system |
Questions about D7451
What does dental code D7451 mean?
It is the entry for removal of benign odontogenic cyst or tumor, greater than 1.25 cm. A practice cannot use it for anything broader than that, which is what makes the code useful to you.
What should I expect to pay for D7451?
Plan for $1,300–$3,500 as the full fee. Two practices a few miles apart can sit at opposite ends of that range for the same work.
Does dental insurance cover D7451?
It normally falls under major oral surgery / medical cover, variable. Whether a particular claim is paid depends more on your history with the plan than on the code.
What is the difference between D7451 and D7450?
D7450 is removal of benign odontogenic cyst or tumor, 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 D7450 rather than refusing it.
Also known as: jaw cyst, odontogenic cyst, ameloblastoma, marsupialisation, jaw tumour.