CPT Code 90791: Psychiatric diagnostic evaluation billing guide
CPT Code 90791 is the AMA’s designated code for a psychiatric diagnostic evaluation performed without a medical services component. It covers the initial comprehensive mental health assessment: gathering psychiatric history, conducting a mental status examination (MSE), establishing a diagnosis, and formulating a treatment plan. This guide covers eligible providers, documentation requirements, reimbursement rates, telehealth rules, […]
CPT code 11921: Corrective tattooing (micropigmentation), 6.1 to 20.0 sq cm
CPT code 11921 covers corrective tattooing (micropigmentation) to correct skin color defects across 6.1 to 20.0 sq cm — it is not a tattoo-removal code.
CPT Code 11300: Shaving of epidermal or dermal lesions
CPT Code 11300 is the AMA’s descriptor for shaving of epidermal or dermal lesions, single lesion, trunk, arms, or legs, with a lesion diameter of 0.5 cm or less. It is one of twelve codes in the 11300-11313 family, each distinguishing a specific combination of body site and lesion size. This reference covers every dimension […]
CPT Code 12037: Intermediate wound repair billing guide
CPT code 12037 is the top-tier code in the intermediate wound repair series, billed when a scalp, axilla, trunk, or extremity wound needs layered closure totaling more than 30.0 cm. It’s also one of the more frequently downcoded codes in the series: a missing wound-length measurement or an undocumented closure layer is enough for a […]
CPT Code 12021: Superficial wound dehiscence with packing
CPT Code 12021 is the code for treatment of superficial wound dehiscence with packing, reported when a previously closed wound reopens at the skin and subcutaneous level and the clinician manages it with packing rather than re-suturing. It is paired with CPT 12020, which describes the same clinical scenario managed by simple closure instead. Payers […]
CPT Code 12007: Simple wound repair billing guide
Wound repair billing is one of the most denial-prone areas in outpatient coding. CPT Code 12007 sits at the top of the simple repair series, covering the longest wounds in that tier – and that position makes it a frequent target for downcoding, upcoding audits, and documentation disputes. Getting the length measurement right, the anatomical […]
CPT Code 11424: Benign lesion excision billing and fee schedule
CPT Code 11424 covers excision of a benign lesion, including margins, on the scalp, neck, hands, feet, or genitalia, when the excised diameter measures 3.1 to 4.0 cm. The measurement includes the narrowest margin taken alongside the lesion itself, so a single millimeter of difference can shift a claim into the wrong size tier. For […]
CPT code 01392: Anesthesia for open tibia and fibula surgery
CPT code 01392 bills anesthesia for open procedures on the upper ends of the tibia, fibula, and patella, think open reduction and internal fixation of proximal fractures, open patellectomy, and open osteotomy at the tibial plateau. It carries 4 base units, and orthopedic surgeons and sports medicine practices submit it most often, since proximal tibia […]
CPT Code 00124: Anesthesia for ear procedures and otoscopy billing
CPT code 00124 is the anesthesia code for otoscopy — direct examination of the external, middle, and inner ear — and carries a base unit value of 4 within the 00100-01999 anesthesia section of the CPT code set. It’s a low-volume, low-complexity code, but claims on it still get denied over the same issues that […]
CPT Code 11201: Skin tag removal add-on billing guide
CPT Code 11201 is an add-on code for skin tag removal, reported for each additional group of 10 lesions once a provider removes more than 15 tags in a single encounter. It is always billed alongside its parent code, CPT 11200, which covers the initial removal of up to 15 fibrocutaneous tags. The official AMA […]