Surgical Procedures CPT Codes and Descriptions

[Pages:57]Surgical Procedures CPT Codes and Descriptions

This list of codes applies to Anthem clinical guideline CG-Surg-52: Site of Care: HospitalBased Ambulatory Surgical Procedures and Endoscopic Services.

The following codes for treatments and procedures applicable to this guideline are included below for informational purposes. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member.

CPT Codes

Body System

Description

0652T

DIGESTIVE SYSTEM

EGD DIAGNOSTIC TRANSNASAL

0653T

DIGESTIVE SYSTEM

EGD TRANSNASAL W/BIOPSY

0654T

DIGESTIVE SYSTEM

EGD TRANSNASAL/CATH INSERTION

10060

INTEGUMENTARY SYSTEM

DRAINAGE OF SKIN ABSCESS

10061

INTEGUMENTARY SYSTEM

DRAINAGE OF SKIN ABSCESS

10080

INTEGUMENTARY SYSTEM

DRAINAGE OF PILONIDAL CYST

10081

INTEGUMENTARY SYSTEM

DRAINAGE OF PILONIDAL CYST

10120

INTEGUMENTARY SYSTEM

REMOVE FOREIGN BODY

CPT Codes

Body System

Description

10121

INTEGUMENTARY SYSTEM

REMOVE FOREIGN BODY

10140

INTEGUMENTARY SYSTEM DRAINAGE OF HEMATOMA/FLUID

10160

INTEGUMENTARY SYSTEM PUNCTURE DRAINAGE OF LESION

10180

INTEGUMENTARY SYSTEM

COMPLEX DRAINAGE WOUND

11000

INTEGUMENTARY SYSTEM

DEBRIDE INFECTED SKIN

11010

INTEGUMENTARY SYSTEM

DEBRIDE SKIN AT FX SITE

11012

INTEGUMENTARY SYSTEM

DEB SKIN BONE AT FX SITE

11042

INTEGUMENTARY SYSTEM

DEB SUBQ TISSUE 20 SQ CM/<

11044

INTEGUMENTARY SYSTEM

DEB BONE 20 SQ CM/<

11200

INTEGUMENTARY SYSTEM

REMOVAL OF SKIN TAGS 4.0 CM

11420

INTEGUMENTARY SYSTEM

EXC H-F-NK-SP B9+MARG 0.5/<

11421

INTEGUMENTARY SYSTEM

EXC H-F-NK-SP B9+MARG 0.6-1

11422

INTEGUMENTARY SYSTEM

EXC H-F-NK-SP B9+MARG 1.1-2

11423

INTEGUMENTARY SYSTEM

EXC H-F-NK-SP B9+MARG 2.1-3

11424

INTEGUMENTARY SYSTEM

EXC H-F-NK-SP B9+MARG 3.1-4

11426

INTEGUMENTARY SYSTEM

EXC H-F-NK-SP B9+MARG >4 CM

11440

INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 0.5 CM/<

11441

INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 0.6-1 CM

11442

INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 1.1-2 CM

11443

INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 2.1-3 CM

11444

INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 3.1-4 CM

CPT Codes

Body System

Description

11446

INTEGUMENTARY SYSTEM

EXC FACE-MM B9+MARG >4 CM

11450

INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11451

INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11462

INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11463

INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11470

INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11471

INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11601

INTEGUMENTARY SYSTEM EXC TR-EXT MAL+MARG 0.6-1 CM

11602

INTEGUMENTARY SYSTEM EXC TR-EXT MAL+MARG 1.1-2 CM

11603

INTEGUMENTARY SYSTEM EXC TR-EXT MAL+MARG 2.1-3 CM

11604

INTEGUMENTARY SYSTEM EXC TR-EXT MAL+MARG 3.1-4 CM

11606

INTEGUMENTARY SYSTEM

EXC TR-EXT MAL+MARG >4 CM

11620

INTEGUMENTARY SYSTEM EXC H-F-NK-SP MAL+MARG 0.5/<

CPT Codes

Body System

Description

11621

INTEGUMENTARY SYSTEM

EXC S/N/H/F/G MAL+MRG 0.6-1

11622

INTEGUMENTARY SYSTEM

EXC S/N/H/F/G MAL+MRG 1.1-2

11623

INTEGUMENTARY SYSTEM

EXC S/N/H/F/G MAL+MRG 2.1-3

11624

INTEGUMENTARY SYSTEM

EXC S/N/H/F/G MAL+MRG 3.1-4

11626

INTEGUMENTARY SYSTEM EXC S/N/H/F/G MAL+MRG >4 CM

11640

INTEGUMENTARY SYSTEM EXC F/E/E/N/L MAL+MRG 0.5CM<

11641

INTEGUMENTARY SYSTEM

EXC F/E/E/N/L MAL+MRG 0.6-1

11642

INTEGUMENTARY SYSTEM

EXC F/E/E/N/L MAL+MRG 1.1-2

11643

INTEGUMENTARY SYSTEM

EXC F/E/E/N/L MAL+MRG 2.1-3

11644

INTEGUMENTARY SYSTEM

EXC F/E/E/N/L MAL+MRG 3.1-4

11646

INTEGUMENTARY SYSTEM

EXC F/E/E/N/L MAL+MRG >4 CM

11730

INTEGUMENTARY SYSTEM

REMOVAL OF NAIL PLATE

11750

INTEGUMENTARY SYSTEM

REMOVAL OF NAIL BED

CPT Codes

Body System

Description

11760

INTEGUMENTARY SYSTEM

REPAIR OF NAIL BED

11765

INTEGUMENTARY SYSTEM

EXCISION OF NAIL FOLD TOE

11770

INTEGUMENTARY SYSTEM REMOVE PILONIDAL CYST SIMPLE

11772

INTEGUMENTARY SYSTEM REMOVE PILONIDAL CYST COMPL

11900

INTEGUMENTARY SYSTEM

INJECT SKIN LESIONS 30.0 CM

12041

INTEGUMENTARY SYSTEM INTMD RPR N-HF/GENIT 2.5CM/<

12042

INTEGUMENTARY SYSTEM

INTMD RPR N-HF/GENIT2.6-7.5

12051

INTEGUMENTARY SYSTEM

INTMD RPR FACE/MM 2.5 CM/<

12052

INTEGUMENTARY SYSTEM INTMD RPR FACE/MM 2.6-5.0 CM

13100

INTEGUMENTARY SYSTEM

CMPLX RPR TRUNK 1.1-2.5 CM

13101

INTEGUMENTARY SYSTEM

CMPLX RPR TRUNK 2.6-7.5 CM

13120

INTEGUMENTARY SYSTEM

CMPLX RPR S/A/L 1.1-2.5 CM

13121

INTEGUMENTARY SYSTEM

CMPLX RPR S/A/L 2.6-7.5 CM

13131

INTEGUMENTARY SYSTEM CMPLX RPR F/C/C/M/N/AX/G/H/F

13132

INTEGUMENTARY SYSTEM CMPLX RPR F/C/C/M/N/AX/G/H/F

13151

INTEGUMENTARY SYSTEM

CMPLX RPR E/N/E/L 1.1-2.5 CM

13152

INTEGUMENTARY SYSTEM

CMPLX RPR E/N/E/L 2.6-7.5 CM

CPT Codes

Body System

Description

13160

INTEGUMENTARY SYSTEM

LATE CLOSURE OF WOUND

14020

INTEGUMENTARY SYSTEM

TIS TRNFR S/A/L 10 SQ CM/<

14301

INTEGUMENTARY SYSTEM

TIS TRNFR ANY 30.1-60 SQ CM

15004

INTEGUMENTARY SYSTEM

WOUND PREP F/N/HF/G

15100

INTEGUMENTARY SYSTEM

SKIN SPLT GRFT TRNK/ARM/LEG

15120

INTEGUMENTARY SYSTEM

SKN SPLT A-GRFT FAC/NCK/HF/G

15220

INTEGUMENTARY SYSTEM

SKIN FULL GRAFT SCLP/ARM/LEG

15240

INTEGUMENTARY SYSTEM

SKIN FULL GRFT FACE/GENIT/HF

15260

INTEGUMENTARY SYSTEM

SKIN FULL GRAFT EEN & LIPS

15576

INTEGUMENTARY SYSTEM

PEDICLE E/N/E/L/NTRORAL

15760

INTEGUMENTARY SYSTEM

COMPOSITE SKIN GRAFT

15770

INTEGUMENTARY SYSTEM

DERMA-FAT-FASCIA GRAFT

17000

INTEGUMENTARY SYSTEM

DESTRUCT PREMALG LESION

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