CPT Code for Scar Excision: Medical Procedure Coding

_{September 25, 2023 by JoyAnswer.org, Category : Healthcare}

What is the CPT code for excision of scar? Find information about the appropriate CPT code used for the excision of a scar in medical procedure coding.

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What is the CPT code for excision of scar?

The CPT (Current Procedural Terminology) code for the excision of a scar depends on various factors, including the size and complexity of the scar excision, the location on the body, and whether it involves a single scar or multiple scars. Here are some common CPT codes that may be used for scar excision:

CPT Code 11440: Excision, benign lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm.
CPT Code 11441: Excision, benign lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm.
CPT Code 11442: Excision, benign lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm.
CPT Code 11443: Excision, benign lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm.

These codes are used for the removal of benign (non-cancerous) lesions, which can include certain types of scars. The choice of code depends on the specific details of the procedure and the scar being excised. Additionally, there are different codes for lesions on other parts of the body, so it's essential for the healthcare provider or coder to accurately document the procedure and choose the appropriate CPT code.

Please note that CPT codes can change over time, and the specific code used may vary based on the circumstances and the healthcare facility's coding practices. It's important to consult with a qualified medical coder or billing specialist to ensure accurate coding for scar excision procedures.

CPT Code for Scar Excision: Medical Coding Explained

The Current Procedural Terminology (CPT) code for scar excision is 11406. This code is used to report the excision of benign lesions, including scars, that are less than 2.0 cm in diameter.

To report scar excision using CPT code 11406, the following criteria must be met:

The lesion must be benign.
The lesion must be less than 2.0 cm in diameter.
The lesion must be excised completely.

If the lesion is larger than 2.0 cm in diameter, or if it is malignant, then a different CPT code should be used.

Excision of Scar: Understanding the CPT Code

CPT code 11406 is a minor procedure that is typically performed in an office setting. The procedure involves the use of a scalpel or other surgical instrument to remove the scar tissue. The area is then closed with sutures or staples.

The CPT code for scar excision is used to communicate the procedure that was performed to the insurance company. The insurance company will use this information to determine how much to reimburse the provider.

Medical Billing for Scar Excision: CPT Code Information

When billing for scar excision, it is important to include the following information:

The patient's name and date of birth
The date of the procedure
The CPT code for scar excision (11406)
The number of lesions that were excised
The size of each lesion
The location of each lesion

It is also important to attach a copy of the patient's medical record to the bill. This will help to support the claim and to ensure that the provider is reimbursed correctly.

If you have any questions about medical billing for scar excision, you should contact your insurance company.