Determining the wound location and surface area is important in order to select the appropriate CPT code. Ambulatory Procedures Listing (APL) Sorted in Code Order Illinois Department of Healthcare and Family Services Effective January 1, 2020 CPT/HCPCS Code APL Begin Date Age Limit (Y/N) Age Range 15050 7/1/2004 N 15100 7/1/2004 N 15101 1/1/2006 N cm., plus 11047 x 2 for sq. *4 Use CPT code 15340-15341 or CPT code 15360-15366 for the surgical preparation or creation of recipient site for the tissue skin graft. Deep Debridement CPT Codes; Excision Benign Skin Lesion CPT Codes; Fasciectomy and Scar Release Procedure CPT Codes; Hand Surgery CPT Codes, sorted by … 15004 / + 15005 = face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits Coding Tip: For debridement of wounds that will heal by secondary intention, refer to the 1104x codes. cm. 15004 Wnd prep ch/inf, f/n/hf/g 15005 Wnd prep, f/n/hf/g, addl cm 15731 Forehead flap w/vasc pedicle 15830 Exc skin abd 15847 Exc skin abd add-on 17311 Mohs, 1 stage, h/n/hf/g 17312 Mohs addl stage 17313 Mohs, 1 stage, t/a/l 17314 Mohs, addl stage, t/a/l 17315 Mohs surg, addl block 19105 Cryosurg ablate fa, each cm. $11 8.01 $28.87 5522. • 2 Local Dx (Location and Depth)- L97.511 Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin . thyroid, parathyroid, parotid), real time with image documentation . cm. Sizing of Wounds When Debriding CPT 15004 - Surgical Preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, neck ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 cm2 or 1% of body area of infants and children. Please reference the CPT descriptions for application of skin substitutes codes (Attachment C). Files related to . There is a superficial blister on the is needed for additional grafting, bill according to the number of single units of Apligraf®, To bill for an Apligraf® (HCPCS Q4101) package (equal to 44-sq. 08 . Diagnostic Coding • Code using Highest Level of Specificity • 1 Systemic Dx - E11.621 DM II w/Foot Ulcer. cm. cm.). $8 9.14 . wound to bone, you would code: 11044 x 1 for the first 20 sq. o CPT 15002 or 15004, wounds up to and including 100 sq cm •CPT 15003 or 15005, each additional 100 sq cm •CPT 15040 – 15261 (Autografts) o Code based on location and size of resulting defect o Measurements apply to size of recipient area o For multiple wounds sum the surface area of wounds grouped within the same code descriptor 76942 . If more than 44-sq. Ultrasound, soft tiss ues of head and neck (e.g. CPT Code Description 12018 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm 12020 Treatment of superficial wound dehiscence; simple closure 12051 Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less Multiple Levels of Debridement Coding Example: The patient has five wounds. 15004 1/1/2007 N 15005 1/1/2007 N 15040 1/1/2006 N Page 3 of 89. Debridement Debridement of subcutaneous tissue (e.g., Current Procedural Terminology (CPT) codes 11042 and 11045, if appropriate) is considered $112. CPT Code CPT Code Descriptor Global Payment Professional Payment Technical Payment APC Code APC Payment 76536 . (CPT 11044/11047 coding ex-ample: If you debrided a 47 sq. 5. 41-47. 21-40 and sq. The total RVU would be 8.93 + 3.53 + 3.53 = 15.99.)
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