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CPT Class Room - 1

Medium of class: Malayalam
CPT (Current Procedural Terminology) codes are used to identify medical procedures and services for billing and documentation purposes. When it comes to the integumentary system, which includes the skin, hair, and nails, CPT codes are used to represent various procedures, surgeries, and treatments related to this system. These codes can cover anything from biopsies and excisions to grafts and repairs. If you have a specific procedure in mind, feel free to ask for the corresponding CPT code.

The Integumentary System subsection includes codes assigned by many different physician specialties. There is no restriction on who reports the codes from this or any other subsection.
You may find a family practitioner using the incision and drainage, debridement, or repair codes; a dermatologist using excision and destruction codes; a plastic surgeon using skin graft codes; or a surgeon using breast procedure codes.

Integumentary system 10004-19499

A Fine Needle Aspiration (FNA) biopsy is performed when material is aspirated with a fine needle and the cells are examined cytologically.

Fine Needle Aspiration (FNA) Biopsy 10021-10012

Introduction and Removal 10030-10036, Incision and Drainage 10040-10180

Debridement is a procedure for treating a wound in the skin. It involves thoroughly cleaning the wound and removing all hyperkeratotic (thickened skin or callus), infected, and nonviable (necrotic or dead) tissue, foreign debris, and residual material from dressings.

Debridement 11000-11047

Paring or cutting of benign hyperkeratotic lesions, such as corn or callus, is the primary treatment or removal method for skin defects caused by the thickening of the stratum corneum or the outermost layer of the epidermis.

Paring or Cutting 11055-11057

The use of a biopsy procedure code (eg, 11102, 11103, 11104, 11105, 11106, 11107) indicates that the procedure to obtain tissue solely for diagnostic histopathologic examination was performed independently or was unrelated or distinct from other procedures/services provided at that time.

Biopsy 11102-11107

Skin tags are an outgrowth of both the epidermis & dermal fibrovascular tissue. Shaving is the sharp removal by transverse incision or horizontal slicing to remove epidermal and dermal lesions without a full thickness dermal excision.

Removal of Skin Tags 11200-11201, Shaving of Epidermal or Dermal Lesions 11300-11313

Excision (including simple closure) of benign lesions of skin (eg, neoplasm, cicatricial, fibrous, inflammatory, congenital, cystic lesions), includes local anesthesia.

Excision [Benign Lesions 11400-11471 Malignant Lesions 11600-11646]

Nails are plates of tightly packed, hard, keratinized epidermal. Pilonidal cyst is a sac under the skin at the base of the spine that can become infected. Introduction Includes injection of a steroid material to a lesion (such as wart, erythema, hordeolm or keloid scar).

Nails 11719-11765, Pilonidal Cyst 11770-11772, Introduction 11900-11983

Use the codes in this section to designate wound closure utilizing sutures, staples, or tissue adhesives (eg, 2-cyanoacrylate), either singly or in combination with each other, or in combination with adhesive strips. Chemical cauterization, electrocauterization, or wound closure utilizing adhesive strips as the sole repair material are included in the appropriate E/M code.

Repair (Closure)

Some wounds needs more than simple, intermediate or complex closure to treat the defect.
In such cases the wound is closed by adjacent tissue transfer (Y-plasty, Z-plasty, flap etc) , taking a full thickness portion of the skin and rotating or advancing the skin into the defect.

Adjacent Tissue Transfer or Rearrangement 14000-14350

Skin replacement surgery consists of surgical preparation and topical placement of an autograft (including tissue cultured autograft) or skin substitute graft (ie, homograft, allograft, xenograft).

Skin Replacement Surgery 15002-15278

A skin flap consists of skin and subcutaneous tissue that survives based on its own blood supply.

Flaps (Skin And/or Deep Tissues) 15570-15738, Other Flaps and Grafts 15740-15777

Decubitus ulcers, also termed bedsores or pressure ulcers, are skin and soft tissue injuries that form as a result of constant or prolonged pressure exerted on the skin. These ulcers occur at bony areas of the body such as the ischium, greater trochanter, sacrum, heel, malleolus (lateral than medial), and occiput.

Pressure Ulcers (Decubitus Ulcers) 15920-15999

Burns are tissue damage that results from heat, overexposure to the sun or other radiation, or chemical or electrical contact. Burns can be minor medical problems or life-threatening emergencies. The treatment of burns depends on the location and severity of the damage.

Burns, Local Treatment 16000-16036

Destruction means ablation of benign, premalignant or malignant tissue by any method, with or without curettement, including local anesthesia and not usually requiring any closure.

Destruction [Benign or Premalignant Lesions 17000-17250, Malignant Lesions, Any Method 17260-17286]

Mohs surgery is a precise surgical technique used to treat skin cancer. During Mohs surgery, thin layers of cancer-containing skin are progressively removed and examined until only cancer-free tissue remains. Mohs surgery is also known as Mohs micrographic surgery.

Mohs Micrographic Surgery 17311-17315

Mohs Micrographic Surgery

Breast 19000-19030
Breast biopsy procedures 19081-19126
Introduction 19281-19298
Mastectomy Procedures 19300-19307

Breast procedures 19000-19307

Breast reconstruction is performed to repair defects due to congenital anomaly or loss of breast tissue after a surgical excision. The goal of breast reconstruction is to correct the anatomic defect and to restore form and breast symmetry. A breast can be reconstructed using a single technique or a combination of techniques, and each technique can stand alone. In addition, both breasts may be reconstructed at the same time, but may use different techniques or a combination of techniques. In many instances breast reconstruction requires more than one planned procedure or may require revisions.

Integumentary System CPT Coding

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Integumentary System CPT Coding

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