Biopsy Minor Salivary Glands - CDT Code Guide
Overview
CDT code D7284 pertains to the excisional biopsy of minor salivary glands, a procedure typically performed by oral surgeons to diagnose or rule out pathological conditions such as tumors or chronic infections. This procedure involves the surgical removal of a small section of the minor salivary glands, which are located throughout the mouth, for histopathological examination. It is often indicated when there is a persistent lesion or swelling in the oral cavity that cannot be diagnosed through non-invasive methods. The biopsy helps in determining the presence of benign or malignant conditions, thereby guiding further treatment plans.
In clinical practice, the excisional biopsy of minor salivary glands is a crucial diagnostic tool. It is generally performed under local anesthesia in an outpatient setting. The procedure is minimally invasive, and patients typically experience a quick recovery with minimal discomfort. Understanding the indications and proper coding of this procedure is essential for accurate diagnosis and effective patient management.
When to Use This Code
- Persistent swelling or lesion in the oral cavity that cannot be diagnosed through imaging or clinical examination.
- Suspected benign or malignant tumors in minor salivary glands.
- Chronic infections or inflammatory conditions affecting the minor salivary glands.
- Unexplained oral pain or discomfort localized to the salivary gland region.
- Pre-surgical evaluation of lesions in the oral cavity.
Documentation Requirements
- Detailed clinical notes describing the lesion or condition prompting the biopsy.
- Pre-operative imaging or diagnostic reports supporting the need for a biopsy.
- Informed consent documentation from the patient, outlining the procedure and potential risks.
- Operative report detailing the procedure, findings, and any complications.
- Pathology report confirming the diagnosis post-biopsy.
Billing Considerations
When billing for D7284, ensure that the procedure is clearly documented and justified in the patient's records. Frequency limitations may apply depending on the patient's insurance policy, and it's important to verify coverage prior to the procedure. Common modifiers such as -59 (distinct procedural service) may be used if multiple procedures are performed during the same visit. Always check with the patient's insurance provider for specific billing guidelines and pre-authorization requirements.
Related CDT Codes
Frequently Asked Questions
The purpose is to obtain a tissue sample for histopathological examination to diagnose or rule out conditions such as tumors or chronic infections.
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