Integumentary System
Skin, Subcutaneous Tissue, Fascia, Muscle, Bone
For FNA procedures US guidance is bundled with 10004-10012 and 10021 but if
more than one samples are collected than US guidance may be reported
FNA is performed on 3 different lesions without US guidance
10021, 10004,10004
The FNA is performed on 2 different lesions for the first one image guidance was
used and for other no image guidance was performed
10005, 10021
The FNA is performed on 3 different lesions for the first two image guidance was
used and for other no image guidance was performed
10005, 10006, 10021-59
The FNA is performed on 9 different lesions for the first two no US guidance
used, The next two US guidance was used, Then for the next 3 Fluoroscopic
guidance was performed, and for the last 2 CT guidance was used, Give the
appropriate CPT codes for the Dr’s Procedure
10021-59, 10004-59, 10005-59,10006-59, 10007-59, 10008*2-59, 10009, 10010
The debridement is preformed for an infectious disease on the lower leg of a pt
over the skin level for up to 23% of the body surface what would be the CPT
code.
11000, 11001*2
The debridement is performed for an infectious disease on the lower leg of a pt
over the skin level for up to 15% of the body surface what would be the CPT
code.
11000, 11001
Biopsy – Taking out any solid/fluid foreign body and or biologic by product or
body part for diagnostic purposes.
FNA Biopsy, Core Needle Biopsy, Punch Biopsy, Tangential Biopsy, INCISIONAL
Biopsy
The dr treated/removed 27 skin tags of Mr Jones from the neck hand and cheek
area what would be the cpt codes assignment!
11200, 11201*2
Partial Thickness vs Full thickness
The Dr excises a lesion through horizontal slicing manner, the lesion was
retracted off the dermal layer and not touching the subcutaneous tissue, The
Lesion measured 30 cm2 in area, What should be the appropriate CPT code (Site
of operation is neck)
Diameter – 6.2 cm
11308.
For shaving epidermis or dermis must be present, no full thickness excision
should be done, horizontal slicing
Excision includes simple Closure
Excision always considers margins
Excision is taking out/Cutting out a part of the body(Tissue) without
replacement
Excision of benign lesion
Excision Malignant legion
Imp –
Repair of nail bed
Reconstruction of nail bed
The Tattoo is done over a 100 sq cm area what is the appropriate CPT coding
11911, 11922*4
11921, 11922*4
The Tattoo is done over a 5 sq cm area what is the appropriate CPT coding
11920
There are 3 types of repairs
Simple repairs
Intermediate repairs
Complex repairs
Simple repair Intermediate repair Complex Repair
EpiDermis, Dermis Multilayered Closure – Multilayered Closure –
And/or Superficial Epidermis, dermis, Muscle, Fascia,
Subcutaneous tissue Subcutaneous and /or Subcutaneous tissue,
Superficial Fascia Dermis and epidermis
Irrigation is done No Debridement is involved Extensive Undermining
debridement is involved is done including
retained sutures or
removal of embedded
foreign material
No preparation is done No preparation is done Wound expansion is
prior to closure prior to closure done in order to remove
excessive scar tissue
surrounding the wound
The pt has 4 cm wound on forehead, 3 cm wounds on each cheek, 5 cm wound
on right leg, 4 cm wound on left leg , 10 cm wound on each hand the provider
has performed the simple repair of all these wounds what should be the
appropriate cpt coding
Forehead – 4cm
Cheeks – 6 cm
Leg r – 5 cm
Leg l – 4 cm
12004, 12015
The pt has 4 cm wound on forehead, 3 cm wounds on each cheek, 5 cm wound
on right leg, 4 cm wound on left leg , 10 cm wound on each hand the provider
has performed the simple repair of all these wounds what should be the
appropriate cpt coding
12006, 12015
The pt has 4 cm wound on forehead, 3 cm wounds on each cheek, 5 cm wound
on right leg, 4 cm wound on left leg , 10 cm wound on each hand the provider
has performed the simple repair of face and intermediate for hands and complex
repair of left leg, and intermediate of right leg wounds what should be the
appropriate cpt coding
12015, 12036, 13121
Simple – 9cm on face – 12015
Intermediate – 25cm – 12036
Complex – 4cm - 13121
