CPT Code 15845: Graft for facial nerve paralysis billing guide

CPT Code 15845 is the AMA CPT descriptor for a graft for facial nerve paralysis using regional muscle transfer. Surgeons bill it when they reroute an adjacent muscle, such as the temporalis, to restore movement to a paralyzed face. Getting the claim right takes more than the procedure code. Modifiers, the ICD-10 crosswalk, facility vs. […]
CPT Code 15876: Suction assisted lipectomy, head and neck

CPT Code 15876 is the billable code for suction assisted lipectomy of the head and neck. It covers surgical removal of subcutaneous fat from the submental and cervical regions using a suction cannula. Coders frequently misapply it to trunk or extremity procedures, or submit it without the medical necessity documentation insurers require. Either error results […]
CPT code 11443: Excision of benign lesion, face, 2.1-3.0 cm

CPT code 11443 covers benign facial lesion excision, 2.1 to 3.0 cm. See how to measure the excised diameter, pair the diagnosis, and dodge denials. Read more.
CPT Code 17000: Destruction of premalignant lesion billing guide

CPT Code 17000 is the billing code for destruction of the first premalignant lesion in a session, most often an actinic keratosis. Two companion codes extend the series. CPT 17003 covers each additional lesion up to 14, and CPT 17004 applies as a flat-fee code once a session reaches 15 lesions. A single counting error […]
CPT Code 00948: Anesthesia for vaginal procedures

CPT code 00948: Definition and covered procedures CPT code 00948 describes anesthesia for vaginal procedures, including biopsy of the labia, vagina, cervix, or endometrium, and cervical cerclage. It carries a base unit value of 4 under the ASA Relative Value Guide. Anesthesiologists bill it for two scenarios: diagnostic biopsy and therapeutic cervical cerclage during pregnancy. […]
CPT Code 36140: Arterial Access Billing Guide

CPT Code 36140: definition and clinical description The American Medical Association’s CPT code set defines CPT Code 36140. It describes the introduction of a needle or intracatheter into an upper or lower extremity artery. It sits within the Intra-Arterial-Intra-Aortic Vascular Access subsection of the Surgery chapter. The code captures the access procedure itself, not any […]
CPT Code 21175: Description, Reimbursement and Modifiers

CPT Code 21175 covers reconstruction of the bifrontal, superior-lateral orbital rims, and lower forehead for plagiocephaly, trigonocephaly, or brachycephaly, with or without grafts. The code bundles autograft harvesting, carries a high reimbursement rate, and requires specific ICD-10 pairings and modifier rules that differ from adjacent skull reconstruction codes. This reference covers the full descriptor, current […]
CPT Code 15135: Dermal autograft, face, scalp, and special sites

CPT code 15135 covers a dermal autograft applied to a special body site, such as the face, scalp, or hands. The descriptor also lists the eyelids, mouth, neck, ears, orbits, genitalia, feet, and multiple digits. It covers the first 100 sq cm of recipient area. Use it instead of a trunk or limb code from […]
CPT Code 01965: Anesthesia for incomplete or missed abortion

CPT Code 01965 is the anesthesia code for a spontaneous incomplete or missed abortion, distinct from CPT 01966, which covers induced abortion. As a result, correct billing depends on confirming the procedure was spontaneous and, in turn, documenting the anesthesia start and stop times needed for the time-unit calculation. Specifically, this reference covers the code […]
CPT Code 15276: Skin substitute graft add-on billing guide

CPT Code 15276 is an add-on procedure code for applying a skin substitute graft to high-complexity anatomical sites. These include the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and multiple digits. It covers each additional 25 sq cm of graft beyond the first 25 sq cm billed under primary code CPT 15275. […]