CPT Code 10036: Soft tissue localization, add-on billing guide
Most soft tissue localization billing errors happen at exactly the moment coders assume a procedure was straightforward. When a radiologist places devices across multiple lesions in a single session, the add-on code logic is where claims quietly unravel. CPT Code 10036 handles those additional lesions, but its rules around pairing, imaging guidance bundling, and documentation […]
CPT code 90677: Prevnar 20 billing, reimbursement, and modifiers
CPT code 90677 is the billing code for Prevnar 20, the 20-valent pneumococcal conjugate vaccine that protects adults against pneumococcal pneumonia, bacteremia, and meningitis. This guide covers the code’s official descriptor, 2026 Medicare Part B reimbursement, the administration and ICD-10 codes it pairs with, applicable modifiers, and required documentation. CPT code 90677: Definition, descriptor, and […]
CPT Code 11442: Benign lesion excision on the face
CPT Code 11442 is the procedure code for excision of a benign lesion, including margins, on the face, ears, eyelids, nose, lips, or mucous membrane, where the excised diameter measures 1.1 to 2.0 centimeters. It sits in the middle of the 11440-11446 family. The most common coding error is measuring the visible lesion instead of […]
CPT Code 11012: Debridement of skin, muscle, and bone
CPT Code 11012 describes debridement including removal of foreign material at the site of an open fracture or dislocation. The procedure covers all five tissue layers: skin, subcutaneous tissue, muscle fascia, muscle, and bone. Published by the American Medical Association (AMA), this code sits within the Debridement Procedures on the Skin section of the CPT […]
CPT Code 10030: Image-guided fluid collection drainage billing guide
CPT Code 10030 is a procedure code maintained by the American Medical Association (AMA) under the integumentary system section of the CPT codebook. Its full official descriptor reads: Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous. Three elements define whether 10030 applies: the […]
CPT Code 11047: Bone debridement add-on billing guide
CPT Code 11047 is an add-on procedure code for debridement of bone, including the epidermis, dermis, subcutaneous tissue, muscle, and fascia if performed, for each additional 20 sq cm or part thereof beyond the primary procedure. It’s a per-unit code: every additional 20 sq cm documented in the record becomes a billable unit, and it’s […]
CPT code 01120: Bony pelvis anesthesia billing guide
CPT code 01120 gets mixed up with hip surgery more often than almost any other anesthesia code. A biller sees the word pelvis on the operative note, assumes it means hip joint, and bills the wrong base units. That one assumption is enough to knock a clean claim into a denial queue. The truth is […]
CPT code 00942: Anesthesia billing for vaginal procedures
CPT code 00942 covers anesthesia for four groups of vaginal procedures: colpotomy, vaginectomy, colporrhaphy, and open urethral procedures. It also applies to diagnostic biopsies of the labia, vagina, cervix, or endometrium. The code carries 4 base units, not 7. That single number causes more billing errors than anything else in the 00940-00952 family. Coders often […]
CPT Code 11000: Debridement of eczematous or infected skin
CPT Code 11000 is the American Medical Association’s designated code for debridement of extensive eczematous or infected skin, covering the initial 10% of body surface area. The official descriptor reads: Debridement of extensive eczematous or infected skin; up to 10% of body surface area. In clinical practice, 11000 applies when a provider removes devitalized, infected, […]
CPT Code 01230: Anesthesia for upper leg procedures
CPT code 01230 covers anesthesia for open procedures on the upper two-thirds of the femur, plus base units, modifiers, and reimbursement.