The CPT code for excision of pyogenic granuloma, a common skin lesion, is an essential aspect of medical billing and coding. Understanding the criteria for using this code and the steps involved in the excision procedure is crucial for healthcare providers to ensure accurate reimbursement and optimal patient care.

Pyogenic granuloma, characterized by its rapid growth and tendency to bleed easily, requires proper diagnosis and treatment. This guide delves into the details of the CPT code for excision of pyogenic granuloma, providing a comprehensive overview for medical professionals.

1. Introduction

Pyogenic granuloma is a common benign vascular tumor that typically presents as a small, red, and rapidly growing nodule on the skin or mucous membranes. It is most commonly seen in children and young adults and is often associated with trauma, infection, or hormonal changes.

2. CPT Code for Excision of Pyogenic Granuloma

The CPT code for excision of pyogenic granuloma is 11300.

This code is used when the lesion is excised with a scalpel or other sharp instrument. It includes the removal of the lesion and the surrounding tissue margin.

3. Procedure for Excision of Pyogenic Granuloma: Cpt Code For Excision Of Pyogenic Granuloma

The procedure for excision of pyogenic granuloma is relatively simple and can be performed in a doctor’s office or clinic. The area around the lesion is first cleaned and anesthetized. The lesion is then excised with a scalpel or other sharp instrument.

The wound is then closed with sutures or left open to heal by secondary intention.

Methods of Excision

• Surgical excision: This is the most common method of excision and involves using a scalpel to remove the lesion.
• Laser excision: This method uses a laser to vaporize the lesion.

4. Post-Operative Care

After the excision of pyogenic granuloma, the patient should keep the wound clean and dry. The wound should be checked regularly for signs of infection. If the wound becomes infected, it should be treated with antibiotics.

Potential Complications, Cpt code for excision of pyogenic granuloma

• Bleeding
• Infection
• Scarring

5. Billing and Coding

The billing and coding for excision of pyogenic granuloma is straightforward. The CPT code for the procedure is 11300. The physician should also bill for any additional services that were provided, such as anesthesia or wound care.

Examples of Billing

• CPT code 11300: Excision of pyogenic granuloma
• CPT code 99213: Office visit for established patient
• CPT code 96372: Anesthesia for minor surgery

FAQ

What is the CPT code for excision of pyogenic granuloma?

The CPT code for excision of pyogenic granuloma is 11420.

What are the criteria for using CPT code 11420?

CPT code 11420 should be used when the pyogenic granuloma is excised using a scalpel or other sharp instrument.

What are the steps involved in the excision of pyogenic granuloma?

The steps involved in the excision of pyogenic granuloma include:

1. Cleaning the area around the pyogenic granuloma.
2. Injecting local anesthesia into the area around the pyogenic granuloma.
3. Excising the pyogenic granuloma using a scalpel or other sharp instrument.
4. Applying pressure to the area to stop bleeding.
5. Dressing the wound.

What are the potential complications of excision of pyogenic granuloma?

The potential complications of excision of pyogenic granuloma include:

• Bleeding
• Infection
• Scarring