CPT Code 13131: Complex wound repair, reimbursement, modifiers
CPT Code 13131 covers complex repair of wounds on the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and feet measuring 1.1 cm to 2.5 cm. Complex repair means the closure needed more than layered suturing — scar revision, debridement, extensive undermining, stents, or retention sutures must be performed and documented for the claim to […]
CPT code 01968: Cesarean anesthesia add-on billing guide
CPT code 01968 is the add-on code anesthesia billing teams report when a labor epidural or combined spinal-epidural continues, without a break in care, into anesthesia for a cesarean delivery. It’s maintained by the American Medical Association and only ever appears on a claim alongside CPT 01967, the primary neuraxial labor analgesia code. The definition […]
CPT code 01930: Anesthesia for venous/lymphatic IR
A biller sees “interventional radiology” on the operative note and reaches for CPT code 01930 as the safe, catch-all choice. It isn’t one. CPT code 01930 has a narrow, specific scope: anesthesia for a therapeutic procedure on the venous or lymphatic system, one that doesn’t reach the central circulation. Diagnostic angiograms, arterial interventions, uterine fibroid […]
CPT Code 15839: Skin Excision Billing Guide
CPT Code 15839 describes excision of excessive skin and subcutaneous tissue, including lipectomy, for a body area not covered by the more specific codes 15830 through 15838. As a catch-all code, it’s treated by default as cosmetic by payers unless the medical record proves otherwise. For that reason, photographs, symptom history, and a diagnosis linked […]
CPT code 10006: FNA Biopsy Billing Guide
CPT code 10006 is the add-on code for an ultrasound-guided fine needle aspiration (FNA) biopsy, reported once for each additional lesion sampled after the first in the same session. It exists only alongside its primary code, CPT 10005, which covers the first lesion; 10006 cannot be billed on its own. The code sits in a […]
CPT Code 01202: Anesthesia for arthroscopic knee procedures
CPT code 01202 is the anesthesia code for arthroscopic procedures of the hip joint: minimally invasive, camera-guided surgery inside the hip capsule, covering cases such as labral repair, femoroacetabular impingement (FAI) surgery, loose body removal, and hip synovectomy. It carries 4.0 base units under the ASA Relative Value Guide, and payment is calculated with the […]
CPT Code 33321: Suture repair of aorta or great vessels with shunt bypass
Wrong sibling code, denied claim. CPT Code 33321 sits in a three-code family where a single documentation detail — whether a shunt bypass, cardiopulmonary bypass, or neither was used — determines which code applies. Coders who miss that distinction routinely face downcoding to CPT 33320 or outright denial. For cardiovascular surgery practices, where a single […]
CPT code 00450: Anesthesia for clavicle and scapula procedures
CPT code 00450 is the anesthesia code for procedures on the clavicle and scapula not otherwise specified, covering fracture repairs, AC joint reconstructions, scapula fixation, and hardware removal. It carries 5 base units and sits within the 00400-00474 range of shoulder-girdle anesthesia codes. This reference covers the code’s definition, base unit value, reimbursement formula, Medicare […]
CPT Code 11010: Debridement of Open Fracture, Skin and Subcutaneous Tissue Level
CPT Code 11010 covers debridement, including removal of foreign material, at the site of an open fracture or dislocation, limited to skin and subcutaneous tissue. It’s the first of three depth-based codes in the family: 11011 extends to muscle fascia and muscle, and 11012 extends to bone. The correct code is whichever one matches the […]
CPT Code 99307: Subsequent nursing facility care billing guide
CPT Code 99307 is a subsequent nursing facility care E/M code, billed when a physician or other qualified healthcare professional performs a medically appropriate history and/or exam with straightforward medical decision making (MDM). It is the lowest-complexity tier in the 99307-99310 code family. Bill one level up without documentation to support it and the claim […]