Integumentary System Current Procedural Coding Expert ...

1 Excision, other benign lesion including margins, exceptskin tag (unless listed elsewhere), face, ears, eyelids,nose, lips, mucous membrane; excised diameter cmor Days 010 AMA: 2006, August, 12-14; 2004, October, 4excised diameter to Days 010 AMA: 2006, August, 12-14; 2004, October, 4excised diameter to Days 010 AMA: 2008, Jun, 14-15; 2006, August, 12-14; 2004, October, 4excised diameter to Days 010 AMA: 2006, August, 12-14; 2004, October, 4excised diameter to Days 010 AMA: 2006, August, 12-14; 2004, October, 4excised diameter over Days 010 AMA: 2008, Jan, 10-25; 2007, January, 13-27; 2006, August,12-14; 2004, October, 411450-11471 Treatment of Hidradenitis: Excision and RepairMD Services in ASCs100-4,12, ASC Services100-4,14,10 CMSC overed ASC Procedures100-2,15,260 CMSHCPCS Under OPPS100-4,4, also closure by skin graft or flap (14000-14350, 15040-15770)Excision of skin and subcutaneous tissue for hidradenitis,axillary; with simple or intermediate Days 090with complex Days 090 Excision of skin and subcutaneous tissue for hidradenitis,inguinal; with simple or Days 090with complex Days 090 Excision of skin and subcutaneous tissue for hidradenitis,perianal, perineal, or umbilical.

2 With simple orintermediate Days 090with complex Days 09011600-11646 Skin Lesion Removal: MalignantMD Services in ASCs100-4,12, ASC Services100-4,14,10 CMSC overed ASC Procedures100-2,15,260 CMSHCPCS Under OPPS100-4,4, on same lesionexcision of additional margin at same operative sessionfull thickness removal including marginslocal anesthesiasimple, nonlayered closure2adjacent tissue transfer at the same time as excision (14000-14300)destruction (17260-17286)excision of additional margin at subsequent operative session(11600-11646)intermediate closure (12031-12057)reconstruction (15002-15261, 15570-15770)Code also complex closure (13100-13153)Code also intermediate or complex closure of defects caused by excision,incision, or trauma (12031-12057)Excision, malignant lesion including margins, trunk,arms, or legs.

3 Excised diameter cm Days 010 AMA: 2008, Jan, 10-25; 2008, Feb, 8-9; 2007, January, 13-27;2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter over Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4 Excision, malignant lesion including margins, scalp, neck,hands, feet, genitalia; excised diameter cm Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter over Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4 Not CoveredUnlistedd/eAssist-at-Surgery Allowed/With Documentationb/fProfessional/Technical Component OnlytPQRI,Modifier 51 Exempt;Female Only:Male Onlyg-wASC Payment IndicatorAMA:CPT Assistant References 2008 (Blue Ink)Medicare(Red Ink)CPT only 2008 American Medical Association.

4 All Rights Reserved.(Black Ink)4 Current Procedural Coding Expert Integumentary System11440 Integumentary System11440 11626 Publisher Excision, malignant lesion including margins, face, ears,eyelids, nose, lips; excised diameter cm Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter to Days 010 AMA: 2008, Feb, 8-9; 2004, October, 4excised diameter over Days 010 AMA: 2008, Jan, 10-25; 2008, Feb, 8-9; 2007, January, 13-27;2004, October, 411719-11752 Nails and Supporting StructuresFoot Care100-2,15,290 CMSHCPCS Under OPPS100-4,4, of paronychia or onychia (10060-10061)Trimming of nondystrophic nails, Days 000 Debridement of nail(s) by any method(s); one Days 000six or Days 000 Avulsion of nail plate, partial or complete, simple; Days 000 AMA: 2008, Jan, 10-25; 2007, January, 13-27each additional nail plate (List separately in additionto code for primary procedure)ssTT811732+Code first Days ZZZE vacuation of subungual Days 000 Excision of nail and nail matrix, partial or complete (eg,ingrown or deformed nail), for permanentremoval.

5 SsTT8117502skin graft (15050) Days 010with amputation of tuft of distalphalanxssTT8117522skin graft (15050) Days 01011770-11772 Treatment Pilonidal Cyst: ExcisionMD Services in ASCs100-4,12, ASC Procedures100-2,15,260 CMSHCPCS Under OPPS100-4,4, of pilonidal cyst (10080-10081)Excision of pilonidal cyst or sinus; Days Days Days 09011900-11901 Treatment of Lesions: InjectionInjection Services100-4,17, of veins (36470-36471)intralesional chemotherapy (96405-96406)Injection, intralesional; up to and including Days 000 AMA: 2008, Jan, 10-25; 2007, January, 13-27; 2006, December,10-12; 2004, September, 12more than 7 Days 000 AMA: 2008, Jan, 10-25; 2007, January, 13-27; 2006, December,10-12; 2004, September, 1211920-11971 Tattoos, Tissue Expanders, and Dermal FillersServices Related to Noncovered Procedures100-2,16,180 CMSC osmetic Procedures100-2,16,120 CMSE xclusions from Coverage100-2,16,10 CMSHCPCS Under OPPS100-4,4, , intradermal introduction of insoluble opaquepigments to correct color defects of skin, includingmicropigmentation; sq cm or Days to sq Days 000each additional sq cm (List separately in additionto code for primary procedure)ssTTe11922+Code first Days ZZZS ubcutaneous injection of filling material (eg, collagen).

6 1 cc or Days to Days to Days 000over Days 000 Insertion of tissue expander(s) for other than breast,including subsequent expansionggTT8119602breast reconstruction with tissue expander(s)(19357) Days 090 Replacement of tissue expander with Days 090 AMA: 2005, August, 1-3 Removal of tissue expander(s) without insertion Days 090 AMA: 2008, Jan, 10-25; 2007, January, 13-27; 2005, June, 9-1111975-11983 Drug ImplantationDrugs and Biologicals100-2,15,50 CMSG eneral Exclusions100-2,16,20 CMSI nsertion, implantable contraceptive capsules; Days XXX11640 11975 Integumentary System6 Non-Facility RVU5 Facility RVUA-YOPPS Status IndicatoryAge EditxMaternity EditsRevised CodelNew Code3 Radiology crosswalk4 Laboratory crosswalk+Add-on IndicatorcBilateral Procedure8 CCI Comprehensive Code5 Medicare(Red Ink)CPT only 2008 American Medical Association.

7 All Rights Reserved.(Black Ink) 2008 Publisher11975 Current Procedural Coding Expert Integumentary System (Blue Ink)