Negotiated reimbursement rates for D7414 across 6 states, sourced from CMS Transparency in Coverage data. 115 rate records.
D7414 is the code for the excision of a malignant lesion greater than 1.25 cm. This procedure is often more complex due to the size and potential invasiveness of the lesion. Clinical indications include lesions that are confirmed malignant through biopsy and require surgical intervention to prevent further spread. Comprehensive documentation is critical, including detailed surgical notes, pathology reports, and any follow-up care plans. Reimbursement for D7414 varies significantly among payors and states, with an average reimbursement of approximately $342. Dental billing professionals should be aware of the potential for higher reimbursement rates for larger lesions, but also the possibility of stricter documentation and pre-authorization requirements.
Reimbursement rates for D7414 vary significantly by state, payor, and provider network. The national average negotiated rate is $342. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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