CPT Code 15131: Dermal autograft for trunk, arms, and legs
CPT Code 15131 describes a dermal autograft applied to the trunk, arms, or legs. It covers each additional 100 square centimeters in adult patients, or each additional 1% of body surface area (BSA) in infants and children. It is reported alongside parent code CPT 15130, which covers the first 100 sq cm of the same […]
CPT Code 15155: Tissue cultured skin autograft billing guide
CPT code 15155 covers the application of a tissue cultured skin autograft to specific anatomical sites. It applies when the surface area treated is 25 sq cm or less. According to the American Medical Association (AMA) CPT code set, this code belongs to the integumentary system section. It is used primarily by plastic surgeons, burn […]
CPT Code 15004: Surgical preparation for high-complexity wound sites
CPT Code 15004 describes surgical preparation or creation of a recipient site. This includes excision of open wounds, burn eschar, or scar tissue, plus incisional release of scar contracture. It applies specifically to high-complexity anatomical sites: face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and multiple digits. The American Medical Association (AMA) publishes […]
CPT Code 15241: Full-thickness skin graft add-on billing guide
CPT Code 15241 is the add-on code for a full-thickness skin graft on the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet. It’s billed for each additional 20 sq cm beyond the first unit covered by CPT 15240. The two most common denials come from billing it without that parent code or miscounting […]
CPT code 10060: Incision and drainage of abscess, simple or single
CPT code 10060 covers incision and drainage of a simple, single abscess of the skin or subcutaneous tissue. Get the code right, and reimbursement follows the fee schedule. Get it wrong the other way, and it becomes upcoding, a pattern Medicare audits specifically for. What CPT code 10060 actually covers The American Medical Association maintains […]
CPT Code 15824: Rhytidectomy forehead brow lift billing guide
CPT Code 15824: definition and official code details CPT Code 15824 is the AMA’s code for rhytidectomy of the forehead, more commonly known as a brow lift. In fact, billing complexity comes from the same surgery being either cosmetic or reconstructive, each with a different reimbursement pathway. Therefore, aligning plastic surgery EMR software and coding […]
CPT Code 11406: Benign lesion excision billing guide (2026)
Benign lesion excision claims are among the most frequently denied dermatology and primary care claims. The reason is almost always the same: incorrect measurement of the excised diameter. CPT Code 11406 sits at the top of the trunk/arms/legs benign lesion code series, reserved for the largest excisions. Coders who misapply it risk both underpayment and […]
CPT Code 11001: Debridement Add-On Code Guide
CPT Code 11001 is an add-on code for debridement of extensive eczematous or infected skin. Specifically, it covers each additional 10% of body surface area beyond the first 10% covered by CPT 11000. As a result, its add-on structure and BSA thresholds make it a high-denial-risk skin code in Medicare. In fact, get the documentation […]
CPT Code 01630: Shoulder Anesthesia Billing Guide
CPT Code 01630: definition and official description Most anesthesia claim denials for shoulder procedures trace back to one root cause: the wrong code or the wrong modifier combination. Every procedure-based CPT code carries specific billing rules, and CPT Code 01630 is no exception. CPT Code 01630 is the general, not otherwise specified (NOS) code in […]
CPT code 10011: MRI-guided FNA biopsy billing guide
CPT code 10011 describes a fine needle aspiration biopsy performed with MRI guidance, billed for the first lesion in a session. The American Medical Association (AMA) created the code in 2019. That year, it split the old FNA biopsy family into ten codes, organized by imaging modality and lesion order. Most CPT 10011 denials don’t […]