Bone - Aetna Dental
Medical in Nature Oral Surgery Effective 11/01/2019
CDT Code D7270
D7285
Description (CDT code)
Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth
Biopsy of oral tissue (hard)
CPT Code 21140
20220
20240
D7286
Biopsy of oral tissue (soft)
20245 20200
20205 40490 40808
41100
41105
D7287
Cytology sample collection
41108
42100 42800 88104
D7288
Brush biopsytransepithelial sample collection
88112
Description (CPT Code)
Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)
RequiresPrecert / Review by OMFS PM
Biopsy, muscle; superficial
Biopsy, bone,excisional; superficial
Biopsy, bone, excisional; deep
Biopsy, muscle; superficial
Biopsy, muscle; deep Biopsy of lip
Biopsy, vestibule of mouth
Biopsy of tongue, anterior two-thirds
Biopsy of tongue, Posterior one-third
Biopsy floor of mouth
Biopsy of palate, uvula
Biopsy of oropharynx
Cytopathology, fluids,
X
washings or brushings,
except cervical or vaginal; smears with
interpretation
Cytopathology, selective cellular enhancement
technique with interpretation(e.g. Liquid
based slide preparation
method), except cervical
or vaginal
Current DentalTerminology?AmericanDentalAssociation.Allrights reserved 01/01/2020
Proprietary
D7295
Harvest ofbone for 21215, 21210 use in autogenous - includes
grafting procedures obtaining the graft, in which case this code would not be covered 20900 - bone graft any
donor area
D7296
Corticotomy - one to 21198-52
Osteotomy, mandible,
X
three teeth or tooth
segmental;
spaces, per quadrant
D7297
Corticotomy ? four or 21206-52
Osteotomy, maxilla,
X
more teeth or tooth
segmental (eg, Wassmund
spaces, per quadrant
or Schuchard)
D7410 D7411
Excision of benign 21015 lesion up to 1.25 cm
Excision ofbenign lesion greater than
1.25 cm
21030
Radical resection of tumor (e.g., malignant
neoplasm); soft tissue of face or scalp Excision of benign tumor
or cyst of maxilla or zygoma by enucleation and curettage
21040
D7412 D7413 D7414 D7415
Excision of benign 41827 lesion, complicated
Excision of
21034
malignant lesion up
to 1.25 cm
21044
Excision of malignant lesion greater than 1.25 cm
21034 21044
Excision of malignant lesion, complicated
21034 21044
21045
Excision of benign tumor or cyst of mandible, by enucleation and curettage
Excision of lesion or tumor, dentoalveolar structures, withcomplex repair
Excision of malignant tumor of maxilla or zygoma
Excision of malignant tumor of mandible
Excision of malignant tumor of maxilla or zygoma
Excision ofmalignant tumor of mandible
Excision of malignant tumor of maxilla or zygoma
Excision of malignant tumor of mandible
Excision of malignant tumor of mandible; radical resection
Current DentalTerminology?AmericanDentalAssociation.Allrights reserved 01/01/2020
Proprietary
D7440
Excision of malignant tumor ?
lesion diameter up to 1.25 cm
21034 21044
21045
D7441
Excision of malignant tumor ? lesion diameter over 1.25 cm
21034 21044
21045
D7450
Removal of benign 21030 odontogenic cyst or tumor; lesion diameter up to 1.25 cm
21040
41825
41826
41827
Excision of malignant tumor of maxilla or zygoma
Excision of malignant tumor of mandible;
Excision of malignant tumor ofmandible; radical resection
Excision of malignant tumor of maxilla or zygoma
Excision of malignant tumor of mandible;
Excision of malignant tumor ofmandible; radical resection
Excision of benign tumor or cyst of maxilla or zygoma by
enucleation and curettage
Review when submitted in conjunction with removal of impacted
teeth
Excision of benign cyst or tumor of mandible, by enucleation and/or
curettage
Excision of lesion or tumor, dentoalveolar structures; without
repair
Excision of lesion or tumor, dentoalveolar structures; with
simple repair
Excision of lesion or tumor, dentoalveolar structures; with
complex repair
Proprietary
Current DentalTerminology?AmericanDentalAssociation.Allrights reserved 01/01/2020
D7451
Removal of benign 21030 odontogenic cyst or tumor; lesion diameter greater than 1.25 cm
21040
41825
41826
41827
D7460
Removal of benign non-odontogenic cyst or tumor; lesion diameter up
to 1.25 cm
21030
21040
41825
41826
41827
Excision of benign tumor or cyst of maxilla or zygoma by
enucleation and curettage
Review when submitted in conjunction with removal of impacted
teeth
Excision of benign cyst or tumor of mandible, by enucleation and/or curettage
Excision of lesion or tumor, dentoalveolar structures; without
repair
Excision of lesion or tumor, dentoalveolar structures; with
simple repair
Excision of lesion or tumor, dentoalveolar structures; with complex repair
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and
curettage
Excision of benign cyst or tumor of mandible, by enucleation and/or curettage
Excision of lesion or tumor, dentoalveolar structures; without
repair
Excision of lesion or tumor, dentoalveolar structures; with
simple repair
Excision of lesion or tumor, dentoalveolar structures; with
complex repair
Proprietary
Current DentalTerminology?AmericanDentalAssociation.Allrights reserved 01/01/2010
D7461
Removal of benign non-odontogenic cyst or tumor; lesion diameter
greater than 1.25 cm
21030 21040
41825
41826
41827
D7465
Destruction of
lesion(s) by physical or chemical methods ? by report
40820 41850
42160
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage
Excision of benign cyst or tumor of mandible, by enucleationand/or curettage
Excision of lesion or tumor, dentoalveolar structures; without repair
Excision of lesion or tumor, dentoalveolar structures; with simple repair
Excision of lesion or tumor, dentoalveolar structures; with complex repair
Destruction of lesion or scar of vestibule of mouth by physical methods
Destruction of lesion; dentoalveolar structures
Destruction of lesion, palate or uvula
D7480
Partial ostectomy 21025
Excision of bone,
X
(code
(guttering or
mandible (e.g., for
deleted
saucerization)
osteomyelitisorbone
2003)
abscess)
21026
Excision of bone, facial bones
D7490
Radical resection of 21045
Excision of malignant
X
mandible with bone
tumor of mandible,
graft
radical resection
21215
Graft, bone; mandible
X
Proprietary
Current DentalTerminology?AmericanDentalAssociation.Allrights reserved 01/01/2020
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