CPT code 20979: Low intensity ultrasound stimulation of bone
CPT 20979 covers LIPUS bone stimulation. Non-union and delayed union are covered, while fresh fractures need payer justification.
CPT code 21013: Excision of subfascial soft tissue tumor, face and scalp
CPT code 21013 covers the excision of a subfascial soft tissue tumor of the face or scalp measuring less than 2 cm. The AMA descriptor reads: Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm. Every word in it is a coding criterion. Depth decides this code. A […]
CPT code 20957: Microvascular bone graft, metatarsal
CPT code 20957 covers a microvascular metatarsal bone graft. Its work RVU sits near 41.5, and denials trace back to the operative note.
CPT code 12032: Intermediate wound repair, 2.6-7.5 cm
CPT 12032 covers layered repair of 2.6-7.5 cm wounds on the scalp, trunk, and limbs. Read more on documentation, modifiers, and edits.
CPT Code 01656: Anesthesia for axillary-femoral bypass graft
CPT Code 01656 covers anesthesia for upper leg artery procedures. It carries 8 base units, and every claim needs a P1-P6 and role modifier.
CPT code 19298: Breast brachytherapy catheter billing guide
CPT code 19298 covers the placement of multiple tube and button afterloading catheters into the breast for brachytherapy. The implant follows a partial mastectomy and sets up partial breast irradiation. Despite sitting in the breast surgery range of the codebook, 19298 belongs to radiation oncology. The diagnostic marker codes around it do a completely different […]
CPT code 12006 billing guide: 20.1 to 30.0 cm repairs
CPT 12006 covers simple repairs of 20.1 to 30.0 cm and has a 0-day global period. Read more on measuring, modifiers, and denials.
CPT Code 19305: Radical mastectomy billing, modifiers & reimbursement
CPT 19305 covers radical mastectomy: both pectoral muscles and level I-III nodes. Total RVU 32.83, about $1,096.55 nationally.
CPT Code 19285: Breast Localization Device Placement Guide
CPT Code 19285 bundles ultrasound guidance, so billing 76942 with it gets denied. Modifiers, NCCI edits, the 19286 add-on and 2026 rates.
CPT Code 19342: Delayed breast reconstruction billing guide
CPT Code 19342 is the code used to report delayed breast reconstruction with a permanent implant or tissue expander. “Delayed” means the reconstruction occurs at a surgical session completely separate from the original mastectomy. The American Medical Association (AMA), which owns and publishes the CPT code set, classifies 19342 under the Repair and/or Reconstruction of […]