Excision of Malignant Tumor — Lesion ≤ 1.25 cm (D7440) — National Rates

About D7440 — Excision of Malignant Tumor — Lesion ≤ 1.25 cm

D7440 is the code used for the excision of a malignant tumor with a lesion size of 1.25 cm or less. This procedure involves the surgical removal of a small malignant tumor from the oral cavity, which is crucial for preventing the spread of cancer. Clinical indications for this procedure include the diagnosis of a malignant tumor that requires excision to ensure complete removal and to minimize the risk of recurrence. Accurate documentation is vital for billing purposes, including the size and location of the lesion, the surgical technique employed, and any relevant patient history. Reimbursement for D7440 averages around $455, but it can vary by payor and state regulations. Some insurance companies may have specific guidelines regarding the excision of malignant tumors, which can influence the reimbursement rate. Therefore, dental billing professionals should confirm coverage details prior to the procedure to avoid unexpected denials.

Reimbursement rates for D7440 vary significantly by state, payor, and provider network. The national average negotiated rate is $455. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.