CPT code 11622: Excision of malignant lesion
CPT code 11622 covers the excision of a malignant skin lesion, including margins, from the scalp, neck, hands, feet, or genitalia. In addition, it applies only when the excised diameter measures 1.1 to 2.0 cm. In other words, both conditions have to hold at once. Therefore, site alone does not select the code, and neither […]
CPT code 10012: Fine needle aspiration biopsy, MRI guidance
CPT code 10012 is the add-on code for fine needle aspiration biopsy performed under MRI guidance, reported for each additional lesion after the first. It never travels alone. Medicare and most commercial payers reject the line unless parent code CPT 10011 appears on the same claim. Two things then decide whether the claim pays. The […]
CPT code 11624: Excision of malignant lesion, 3.1-4.0 cm
CPT code 11624 covers the excision of a malignant skin lesion from the scalp, neck, hands, feet, or genitalia. It applies when the excised diameter measures 3.1 to 4.0 cm, margins included. That one measurement is where the money leaks. Coders often work from the lesion alone, or from the specimen size printed on the […]
CPT code 20150: Excision of epiphyseal bar billing guide
CPT code 20150 covers excision of an epiphyseal bar. The same-incision soft tissue graft is bundled, and a 90-day global period applies.
CPT code 20251: Open vertebral body biopsy billing guide
CPT code 20251 is the AMA code for an open biopsy of the vertebral body at the lumbar or cervical level. The official descriptor reads: Biopsy, vertebral body, open; lumbar or cervical. It sits in the General Excision subsection of the AMA’s CPT code set, inside the Musculoskeletal System chapter (codes 20000-29999). The key billing […]
CPT code 19357: Tissue expander placement in breast reconstruction
CPT code 19357 covers tissue expander placement plus every fill visit inside the 90-day global period. Never bill those separately.
CPT code 19380: Revision of reconstructed breast
CPT code 19380 covers revision of a reconstructed breast. Work RVU is about 10.89, and payers expect LT or RT on every claim.
CPT code 19325: Augmentation mammoplasty billing guide
CPT code 19325 is the billing code for breast augmentation with an implant. Plastic surgeons, breast surgeons, and reconstructive specialists use it whenever they place a prosthetic breast implant. It covers cosmetic volume enhancement as well as reconstruction after mastectomy or trauma. The American Medical Association (AMA) publishes the official descriptor for 19325 and issues […]
CPT code 15005: Wound surgical preparation add-on billing guide
CPT code 15005: definition and official descriptor CPT code 15005 covers each additional 100 sq cm of recipient site preparation on the face, scalp, neck, hands, feet, or genitalia. It is an add-on code, and it is reported only with primary code CPT 15004. Wound prep claims generate heavy denial volume, and most of it […]
CPT Code 11976: Removal of implantable contraceptive capsules
CPT Code 11976: definition and official description CPT Code 11976 is the American Medical Association-maintained code for the removal of implantable contraceptive capsules from subcutaneous tissue. It sits within the Integumentary System section of the CPT codebook, specifically under Introduction or Removal Procedures. Nexplanon removal is the most common clinical scenario billed under this code […]