D7461 Dental Code
D7461 Dental Code is the dental procedure for Removal of benign nonodontogenic cyst or tumor – lesion diameter greater than 1.25 cm.
The D7461 Dental Code refers specifically to the dental procedure defined as the removal of a benign nonodontogenic cyst or tumor, where the lesion diameter is greater than 1.25 cm. This Current Dental Terminology (CDT) code is used by dental professionals and billing specialists to properly classify and document this surgical intervention in dental insurance claims and patient records.
Understanding how to correctly use the D7461 CDT Code is essential when preparing billing documentation for procedures that involve the surgical excision of nonodontogenic tumors or cysts that are benign in nature and exceed the specified size threshold. Accuracy in selecting this code helps avoid claim rejections or delays in reimbursement and ensures that dental practices remain compliant with current billing standards.
When submitting dental procedure claims that involve D7461, it is critical to confirm that the clinical procedure performed aligns precisely with the definition of this code. Using this CDT code incorrectly or without proper documentation can lead to administrative issues or audit concerns. Therefore, it is highly recommended that providers verify the clinical documentation and confirm the lesion size and pathology classification prior to assigning the D7461 code.
Additionally, when selecting D7461 for dental billing, professionals should review the procedural notes and any imaging or diagnostic reports to support the use of this specific code. Documentation should clearly indicate that the lesion removed was both benign and nonodontogenic, and that its diameter exceeded 1.25 centimeters. Thorough and detailed charting will support accurate billing and improve the likelihood of insurance approval.
To ensure optimal code selection, dental offices should stay informed about updates to the CDT code set and review official coding guidelines regularly. While D7461 is highly specific, accurate usage contributes to streamlined reimbursement and proper reporting of complex oral surgery procedures.
D7461 Dental Code Definition
What is D7461 Dental Code?
The D7461 Dental Code is a specific CDT (Current Dental Terminology) code that refers to the surgical removal of a benign nonodontogenic cyst or tumor, with a lesion diameter greater than 1.25 centimeters. This code is used by dental professionals and oral surgeons to accurately document and report this type of surgical procedure for billing, insurance claims, and patient records.
This dental procedure involves the removal of abnormal, non-cancerous growths or cysts in the oral or maxillofacial region that are not of dental origin (nonodontogenic). These lesions must be greater than 1.25 cm in diameter, which is a crucial criterion for proper use of the D7461 code. The term “benign” indicates that the cyst or tumor does not show signs of malignancy, and “nonodontogenic” confirms that it is unrelated to tooth development or tooth structures.
Correctly using D7461 ensures that the procedure is categorized under the appropriate billing code, allowing dental offices, oral surgery clinics, and billing coordinators to comply with industry standards and streamline claims processing. It is essential for practitioners to thoroughly document the lesion size, diagnosis, and surgical approach when using this CDT code, as precise records support the legitimacy and accuracy of the billed procedure.
This code is frequently used in cases where pathology reports or imaging studies confirm the benign and nonodontogenic nature of the lesion. Accurate use of D7461 Dental Code helps avoid billing errors, reduces claim denials from insurance companies, and supports clear communication between dental providers, insurance carriers, and patients.
Understanding and properly applying the D7461 CDT code is critical for dental billing accuracy, clinical recordkeeping, and successful reimbursement. It allows dental professionals to classify complex surgical removals with clarity and ensures that larger benign lesions are reported under the correct procedural code category.
D7461 Dental Code & CDT Codes Explained
What are CDT Codes (Current Dental Terminology)?
The D7461 Dental Code is part of a standardized coding system known as CDT Codes, which stands for Current Dental Terminology. These dental procedure codes are developed and maintained by the American Dental Association (ADA) and are used nationwide by dentists, oral surgeons, and billing specialists to accurately describe the services they provide. CDT codes ensure consistency and clarity in dental claims processing, clinical documentation, and insurance reimbursement.
CDT Codes, such as D7461, serve as the official language for reporting dental procedures. They are essential for submitting claims to dental insurance carriers, recording treatment histories, and maintaining compliance with HIPAA regulations. The D7461 code specifically refers to the removal of a benign nonodontogenic cyst or tumor with a lesion diameter greater than 1.25 centimeters, and its inclusion in the CDT code set allows for accurate identification and classification of this surgical procedure.
Each year, the ADA releases updates to the CDT code set. These updates may include new procedure codes, deleted codes, and revised descriptions or guidelines, all of which are crucial for keeping dental practices current and compliant. Dental providers, office managers, and billing departments must stay up to date on these revisions to ensure correct coding and to avoid insurance claim denials or delays.
In addition to the procedural descriptions, CDT codes may also be subject to ADA edits and payer-specific guidelines. Insurance carriers may implement their own internal edits based on CDT code definitions, which is why it is important to understand not only the clinical meaning of a code like D7461, but also how it is interpreted by different insurance companies.
By learning about dental procedure codes (CDT Codes), including the important role of D7461, you empower your dental practice or billing team to enhance accuracy, reduce billing errors, and streamline claim approvals. Whether you’re a provider, dental office administrator, or student, gaining a solid understanding of CDT codes is key to successful dental billing and documentation.
What professionals use D7461 Dental Code and Other CDT Codes?
The D7461 Dental Code, along with all other CDT codes (Current Dental Terminology), is widely used by dental professionals and healthcare billing experts across the United States. These standardized procedure codes are published annually by the American Dental Association (ADA) and serve as the official reference for the Code on Dental Procedures and Nomenclature (CDT Code). The CDT code set, including D7461, is universally accepted by dental care providers, oral surgeons, administrative staff, and virtually all dental insurance companies.
Dentists and oral surgeons rely on the D7461 CDT code to accurately document procedures involving the removal of benign nonodontogenic cysts or tumors with lesion diameters exceeding 1.25 centimeters. Proper usage of this code ensures that clinical documentation aligns with national billing standards and that patient records reflect the precise services rendered. By using D7461 and other CDT codes, dental professionals can communicate clearly with insurance carriers and maintain consistent terminology across medical and dental platforms.
Dental billing specialists and office managers also depend on the D7461 Dental Code to submit accurate insurance claims. CDT codes like D7461 play a crucial role in processing reimbursements, avoiding denials, and reducing errors in dental billing. Insurance companies require that claims be submitted using standardized codes, making CDT codes an essential component of every dental office’s revenue cycle management.
Dental hygienists, periodontists, prosthodontists, and other dental care professionals may also encounter D7461 and similar codes in their clinical documentation and billing processes. While these specialists may not perform the surgical procedure defined by D7461 directly, they must understand CDT code classifications in order to coordinate care, prepare treatment plans, and contribute to comprehensive dental records.
In addition to dental professionals, dental insurance providers and claims adjudicators use CDT codes such as D7461 to evaluate submitted procedures, determine coverage eligibility, and issue payments. The consistent use of ADA-published codes ensures that all parties involved—from providers to payers—are referencing the same standardized procedures, improving communication, accuracy, and transparency in dental care delivery.
Overall, the D7461 Dental Code and all other CDT codes are essential tools used across the dental industry for clinical accuracy, regulatory compliance, and seamless billing processes. Their adoption by dentists, oral health professionals, dental billing teams, and insurance carriers highlights the importance of understanding and correctly applying CDT coding standards.
If you need guidance or support regarding the D7461 Dental Code or any other CDT codes (Current Dental Terminology), you’ve come to the right place. At CDT-Codes.com, our dedicated and knowledgeable team is ready to help you with any questions or concerns you may have about dental procedure codes. Whether you’re a dental professional, billing coordinator, office manager, or student, we’re here to assist you with reliable, up-to-date, and easy-to-understand information related to CDT codes for dental billing.
Our highly experienced team specializes in dental coding and is committed to helping you interpret and apply the D7461 Dental Code accurately for insurance claims, clinical documentation, and dental recordkeeping. If you’re unsure about using this code for the removal of a benign nonodontogenic cyst or tumor (lesion diameter greater than 1.25 cm), we can guide you through the correct usage and billing practices. Simply reach out to us through our Contact Us page or leave a message in the comments section below—we’re happy to help!
CDT-Codes.com is recognized as a comprehensive, trusted resource for dental procedure coding information, including detailed insights into D7461 and many other commonly used CDT codes. Our goal is to make your billing process easier, more efficient, and fully compliant with current ADA coding standards. We continuously review and update our database to ensure we provide the most accurate and current coding references available in the dental industry.
Our community of users plays a vital role in helping us maintain the quality and accuracy of the information we share. From time to time, visitors like you send us valuable updates or corrections about CDT codes such as D7461, which we greatly appreciate. If you come across any new information, revisions, or clarifications regarding this code or any other dental procedure code, please notify us through our contact form or comment below. Once verified, we will update the site to ensure all users benefit from the most current and correct details.
Please note that CDT-Codes.com is an independently operated informational platform. We are not affiliated with the American Dental Association (ADA), any government agency, state dental board, or professional medical organization. Our mission is to provide high-quality, user-friendly content to support dental professionals and their teams in navigating CDT dental coding with confidence and accuracy.
Additional CDT Codes (Code on Dental Procedures and Nomenclature)
D7465 Dental Code
D7471 Dental Code
D7472 Dental Code
D7473 Dental Code
D7485 Dental Code
D7490 Dental Code
D7510 Dental Code
D7511 Dental Code
D7520 Dental Code
D7521 Dental Code