Excision of Benign Lesion > 1.25 cm (D7411) — National Rates

About D7411 — Excision of Benign Lesion > 1.25 cm

D7411 is the code used for the excision of a benign lesion that exceeds 1.25 cm in size. This procedure is indicated when a larger benign lesion poses potential health risks or cosmetic concerns. Documentation should include a thorough clinical examination, imaging if necessary, and a clear rationale for the excision. As with other dental procedures, reimbursement for D7411 can vary significantly by payor and state, with some plans offering higher reimbursement rates for larger lesions due to the increased complexity of the procedure. The average reimbursement for this code is approximately $570, but dental billing professionals should be aware of specific plan limitations and pre-authorization requirements that may apply.

Reimbursement rates for D7411 vary significantly by state, payor, and provider network. The national average negotiated rate is $570. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.