D7460 — Removal of benign nonodontogenic cyst or tumor — up to 1.25 cm
D7460 removes a benign cyst or tumour up to 1.25 centimetres that did not arise from tooth-forming tissue.
One of eight cyst and tumour removal codes. If you are trying to understand the treatment, start with the cyst and tumour removal guide; if you are trying to understand this line on your estimate, you are in the right place.
Read on for the conditions this code carries, the money involved, the way a payer is likely to treat it, and a plain comparison against each of the codes it is easily mistaken for.
Reading D7460
Size — up to 1.25 centimetres. The measurement has to be recorded in the chart; it is what separates this code from the large-lesion code beside it.
How D7460 differs from its neighbours
D7461 — Removal of benign nonodontogenic cyst or tumor — greater than 1.25 cm: It is the large-lesion version.
D7451 — Removal of benign odontogenic cyst or tumor — greater than 1.25 cm: It is the large-lesion version.
D7450 — Removal of benign odontogenic cyst or tumor — up to 1.25 cm: It is the same procedure with one word changed: odontogenic rather than nonodontogenic.
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.
D7460 sits in a group of eight codes in total; the remainder are linked at the foot of this page. The descriptions differ by a few words and the fees differ by a great deal, which is why mixing them up is one of the commonest billing errors in dentistry. Ask which of these codes is being submitted and why.
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 D7460
What procedure is D7460?
It is the oral and maxillofacial surgery code for removal of benign nonodontogenic cyst or tumor, up to 1.25 cm, and it means that specific procedure and no other.
How much does D7460 cost?
Most private fees fall in $700–$1,800. Geography accounts for more of that spread than anything clinical.
How do dental plans handle D7460?
It is generally a covered benefit in the major oral surgery / medical category, variable. Frequency limits and waiting periods are the usual reasons a claim is refused.
What is the difference between D7460 and D7461?
D7461 is removal of benign nonodontogenic cyst or tumor, greater than 1.25 cm: it is the large-lesion version. Everything else about the appointment is identical, so the record has to show that one detail for D7460 to be the defensible code.
Also known as: jaw cyst, odontogenic cyst, ameloblastoma, marsupialisation, jaw tumour.