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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