CPT Code for Cyst Removal: Medical Coding Information

_{November 24, 2023 by JoyAnswer.org, Category : Healthcare}

What is the CPT code for removal of a cyst? Identification of the appropriate CPT (Current Procedural Terminology) code used for the surgical removal of a cyst.

Table of Contents

What is the CPT code for removal of a cyst?

The Current Procedural Terminology (CPT) code for the removal of a cyst can vary based on the location, size, and complexity of the procedure. One commonly used code for cyst removal is CPT code 11400 for the excision of a benign lesion, including a cyst.

Here are a few relevant CPT codes for cyst removal:

CPT Code 11400:
- Excision, benign lesion, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips; excised diameter over 4.0 cm.
CPT Code 11401:
- Excision, benign lesion, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm.
CPT Code 11402:
- Excision, benign lesion, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm.
CPT Code 11403:
- Excision, benign lesion, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm.
CPT Code 11404:
- Excision, benign lesion, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm.
CPT Code 11406:
- Excision, benign lesion, except skin tag (unless listed elsewhere); face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less.

It's important to note that these codes are specific to the excision of benign lesions, which would include cysts. The appropriate code to use depends on the size of the cyst and the anatomical location. Additionally, if the cyst removal involves a more complex procedure or if it is performed in a different anatomical location, different codes may apply.

Medical coding should be performed by qualified professionals who are familiar with the specific details of the procedure performed and the patient's medical record. Always consult with a certified coder, healthcare provider, or the appropriate coding resources for the most accurate and up-to-date information.

What is the CPT code for the removal of a cyst?

The CPT code for the removal of a cyst depends on the location and size of the cyst. The following are some of the most common CPT codes for cyst removal:

11400: Excision, benign lesion, except skin tags, by simple closure; lesion diameter 0.5 cm or less

11401: Excision, benign lesion, except skin tags, by simple closure; lesion diameter 0.6 to 1.0 cm

11402: Excision, benign lesion, except skin tags, by simple closure; lesion diameter 1.1 to 2.0 cm

11403: Excision, benign lesion, except skin tags, by simple closure; lesion diameter 2.1 to 3.0 cm

11404: Excision, benign lesion, except skin tags, by simple closure; lesion diameter 3.1 cm or more

Are there specific CPT codes for different types or locations of cyst removals?

Yes, there are specific CPT codes for different types and locations of cyst removals. For example, the following are some of the CPT codes for cyst removal on the face:

11200: Excision, benign lesion, face, ears, eyelids, scalp, neck, trunk, and/or extremities; lesion diameter 0.5 cm or less

11201: Excision, benign lesion, face, ears, eyelids, scalp, neck, trunk, and/or extremities; lesion diameter 0.6 to 1.0 cm

11202: Excision, benign lesion, face, ears, eyelids, scalp, neck, trunk, and/or extremities; lesion diameter 1.1 to 2.0 cm

11203: Excision, benign lesion, face, ears, eyelids, scalp, neck, trunk, and/or extremities; lesion diameter 2.1 to 3.0 cm

11204: Excision, benign lesion, face, ears, eyelids, scalp, neck, trunk, and/or extremities; lesion diameter 3.1 cm or more

How are CPT codes for cyst removals utilized in medical billing?

CPT codes are used to communicate the type and complexity of a medical procedure to insurance companies. Insurance companies use CPT codes to determine how much to reimburse providers for their services.

When a doctor removes a cyst, they will typically submit a bill to the patient's insurance company. The bill will include the CPT code for the cyst removal procedure. The insurance company will then use this CPT code to determine how much to pay the doctor.

In addition to CPT codes, doctors may also submit other codes to insurance companies when billing for cyst removal procedures. These codes may include:

ICD-10 codes: These codes are used to diagnose the patient's condition.

HCPCS codes: These codes are used to identify the specific supplies and equipment used in the procedure.

Modifiers: These codes are used to provide additional information about the procedure, such as the location of the cyst or the presence of complications.