11045 CPT Code: Know Your CPT Codes

What is the 11045 CPT Code?

The 11045 CPT code falls under the category of “Excision, Benign Lesions” in the CPT codebook. Specifically, it refers to the excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair.

Understanding the Procedure

Hidradenitis is a chronic skin condition characterized by the inflammation of sweat glands, typically occurring in areas where skin rubs together, such as the armpits, groin, and buttocks. The excision of these lesions involves surgically removing affected tissue, including the skin and subcutaneous layers, to alleviate symptoms and prevent recurrence.

Common Procedures Represented by 11045 CPT Code

The 11045 CPT code is primarily used for excising benign lesions associated with hidradenitis in the axillary region. This may involve removing inflamed tissue, cysts, abscesses, or scar tissue caused by recurrent flare-ups of the condition.

Documentation Requirements

Accurate documentation is essential when billing under the 11045 CPT code. Medical records should include detailed information regarding the patient’s condition, including the location and size of the lesion, any associated symptoms, preoperative evaluation, the surgical technique employed, intraoperative findings, and postoperative care instructions.

Accurately Using 11045 CPT Code

• Thorough Examination: Before performing the excision procedure, ensure a comprehensive examination of the patient’s condition, including assessing the extent of the lesion and any associated complications.
• Proper Coding: Double-check that the excision procedure meets the specific criteria outlined by the 11045 CPT code. Verify that the procedure performed aligns with the code description to avoid coding errors.
• Documentation Precision: Provide detailed documentation of the excision procedure, including the size and location of the lesion, the depth of tissue removed, and any associated findings. Accurate documentation supports the medical necessity of the procedure and facilitates proper reimbursement.
• Follow-Up Care: Document any postoperative care provided to the patient, including wound care instructions, follow-up appointments, and management of any complications or adverse reactions.
• Stay Updated: Stay informed about any updates or changes to CPT coding guidelines to ensure compliance with current coding standards and regulations.

In conclusion,

The 11045 CPT code plays a crucial role in accurately documenting and billing for excision procedures related to hidradenitis in the axillary region. Understanding the nuances of this code, adhering to documentation requirements, and employing proper coding practices are essential for efficient and accurate reimbursement. By following these guidelines, medical professionals can ensure optimal patient care and financial integrity in their practices.

If you require any support with coding for the 11045 CPT code, PrimeCare MBS, a reliable medical billing company, stands ready to assist you. Contact us to learn more.

References:

• CPT® Code 11045 – Debridement Procedures on the Skin
• Article – Billing and Coding: Wound Care (A55818)

The American Medical Association (AMA) owns the copyright for the Current Procedural Terminology (CPT) coding system. It’s important to note that CPT codes can vary over time and may be subject to updates and revisions. The AMA periodically releases new editions of the CPT code set to reflect changes in medical practices and technology and updates in reimbursement guidelines.