Pyogenic granuloma excision CPT code plays a crucial role in the medical billing process. This code, assigned by the American Medical Association (AMA), identifies the specific procedure performed and determines the appropriate reimbursement. Understanding the CPT code for pyogenic granuloma excision is essential for healthcare providers to ensure accurate billing and efficient reimbursement.
This guide provides a comprehensive overview of the pyogenic granuloma excision CPT code, including its description, usage, and billing considerations. We will also explore the documentation requirements, related procedures, and insurance coverage aspects to ensure a thorough understanding of this important medical billing code.
1. Pyogenic Granuloma Excision CPT Code
The Current Procedural Terminology (CPT) code for pyogenic granuloma excision is 11420.
This code describes the surgical removal of a pyogenic granuloma, which is a benign vascular tumor that typically occurs on the skin or mucous membranes.
2. Procedure Details
Pyogenic granuloma excision typically involves the following steps:
- Local anesthesia is administered to numb the area around the granuloma.
- The granuloma is removed using curettage, excision, or a combination of both techniques.
- The wound is cleaned and dressed.
- Post-operative care may include pain medication, antibiotics, and wound care instructions.
3. Documentation Requirements: Pyogenic Granuloma Excision Cpt Code
Accurate and complete medical records are essential for pyogenic granuloma excision. The documentation should include:
- Patient’s history and physical examination findings
- Description of the procedure performed
- Any complications or adverse events
- Medical codes, such as ICD-10 codes, to describe the diagnosis and procedure
4. Billing Considerations
Billing for pyogenic granuloma excision depends on the following factors:
- Size and location of the granuloma
- Complexity of the procedure
- Use of any modifiers or additional codes
The following table illustrates different billing scenarios and their corresponding CPT codes:
| Scenario | CPT Code |
|---|---|
| Excision of a small pyogenic granuloma on the face | 11420 |
| Excision of a large pyogenic granuloma on the leg | 11421 |
| Excision of a pyogenic granuloma with multiple lobes | 11422 |
FAQ Explained
What is the specific CPT code for pyogenic granuloma excision?
The CPT code for pyogenic granuloma excision is 11421.
What are the circumstances in which CPT code 11421 is used?
CPT code 11421 is used when a pyogenic granuloma is excised using a simple technique, such as curettage or excision.
What documentation is required for pyogenic granuloma excision?
Documentation for pyogenic granuloma excision should include the patient’s history, physical examination findings, the procedure performed, and any post-operative care instructions.
