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Dermatology Dermatology

Intralesional Injections

Can I Report CPT 11900 x 1 and 11901 for each additional injections for multiple nodular lesions?

Question:

Can I Report CPT 11900 x 1 and 11901 for each additional injections for multiple nodular lesions?

Answer:

No. CPT 11900 and 11901 are used to report number of lesions, not number of injections. You would report 11900 for up to and including 7 lesions and 11901 if there are more than 7 lesions. Make sure you document the type of lesions injected (cystic, nodular, keloid, psoriasis, acne, etc.) and location of each individual lesion. You may also separately bill for the medication using an appropriate J code.

*This response is based on the best information available as of 01/05/17.

 
 
KZA - Dermatology - Coding Coach
 
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Dermatology Dermatology

Use of Tissue Adhesive for Laceration Repair

Does use of a tissue adhesive “count” as a layer for the laceration repair codes?

Question:

Does use of a tissue adhesive “count” as a layer for the laceration repair codes?

Answer:

Actually, yes it does! The CPT guidelines state “Use the codes in this section to designate wound closure utilizing sutures, staples, or tissue adhesives (e.g., 2-cyanoacrylate), either singly or in combination with each other, or in combination with adhesive strips. Wound closure utilizing adhesive strips as the sole repair material should be coded using the appropriate E/M code.” This means sutures, staples or a tissue adhesive “counts” as a wound closure technique for 12001–13160. However, steri-strips do not.

*This response is based on the best information available as of 07/21/16.

 
 
KZA - Dermatology - Coding Coach
 
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