Biopsy of Oral Tissue

Policy No: 47
Originally Created: 03/01/1997
Section: Oral and Maxillofacial Surgery
Last Reviewed: 01/01/2019
Last Revised: 01/01/2018
Approved: 01/01/2018
Effective: 01/01/2018

Description

Biopsy of oral tissue-hard (bone, tooth) (D7285)

  • For removal of specimen only. This code involves biopsy of osseous lesions and is not used for apicoectomy/periradicular curettage.
  • For oral pathology procedures see D0472, D0473, D0474 and D0475.

Biopsy of oral tissue- soft (all others) (D7286)

  • For surgical removal of specimen only. This code is not used at the same time as codes for apicoectomy/periradicular curettage.
  • For oral pathology procedures, see D0472, D0473, D0474 or D0502.

Policy/criteria

Procedure is in accordance with generally accepted standards of dental practice.

Administrative guidelines

Process to contract benefits.

Biopsies non-contiguous to a tooth or its supporting structures are considered medical.

Codes

CDT - see above

Disclaimer

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