Oral Pathology Laboratory

Policy No: 07
Originally Created: 01/01/2011
Section: Diagnostic
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
Approved: 01/01/2018
Effective: 01/01/2018




Procedures are in accordance with generally accepted standards of dental practice.

Oral Pathology Laboratory procedures are not a benefit of the dental contract.

Administrative guidelines

Process to contract benefits.

Procedure is considered medical (deny under dental). Submit on medical claim form with applicable medical CPT code and diagnosis code.

Note: Procedure is usually done in conjunction with biopsies.


CDT - D0100-D0999 - see above.


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