Appendix C Podiatriac Services
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1 Appendix C Podiatriac Services CPT/ HCPCS Codes Description Auth required Y or N Mod Service Limits Age Limits Notes Fine Needle Aspiration w/ or w/o imaging guidance Incision & Drainage Simple/Single Complicated/Multi ple Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple/Complicate d Incision And Drainage Of Hematoma, Seroma Or Fluid Collection Puncture Aspiration Of Abscess, Hematoma, Bulla, Or Cyst Incision And Drainage, Complex, Postoperative Wound Infection
2 Debridement Of Extensive Eczematous Or Infected Skin; Up To 10% Of Body Surface Debridement Of Extensive Eczematous Or Infected Skin; Each Additional 10% Of Body Surface, Or Part Thereof (List Separately In Additional To Code For Primary Procedure) Debridement Including Removal Of Foreign Material Associated With Open Fracture(S) And/Or Dislocation(S) Debridement; Skin, And Subcutaneous Tissue/Muscle/Bon e Paring Or Cutting Of Benign Hyperkeratotic Lesion Biopsy Of Skin, Subcutaneous Tissue And/Or Mucous Membrane (1->1)
3 Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions/Each Addt'l 10 lesions Shaving Of Epidermal Or Dermal Lesion, Single Lesion, Trunk, Arms Or Legs; Lesion Diameter 0.5 Cm - over Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less-over 4.0 Excision, Benign Lesion Including Margins, Except Skin Tag (Unless Listed Elsewhere), Scalp, Neck, Hands Feet, Genitalia; Excised Diameter 0.5 Cm Or Less - over , , Excision, Malignant Lesion Including Margins, Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less - over 4.0
4 , Excision, Malignant Lesion Including Margins, Scalp, Neck, Hands, Feet, Genitalia; Excised Diameter 0.5 Cm Or Less -over Trimming Of Nondystrophic Nails, Any Number Debridement Of Nail(S) By Any Method(S); One To Five/Six or more 11730, Avulsion Of Nail Plate, Partial Or Complete, Simple; Single/Each addt'l nail plate Evacuation Of Subungual Hematoma 11750, Excision Of Nail And Nail Matrix, Partial Or Complete, (Eg, Ingrown Or Deformed Nail), For Permanent Removal/with amputation of tuft of distal phalanx
5 , Biopsy Of Nail Unit (Eg, Plate, Bed, Matrix, Hyponychium, Proximal And Lateral Nail Folds) (Separate Procedure) Repair/Reconstruc tion Of Nail Bed / with graft Wedge Excision Of Skin Of Nail Fold Injection, Intralesional; Up To And Including Seven Lesions/7+ lesion Insertion Of Tissue Expander(S) For Other Than Breast, Including Subsequent Expansion Replacement Of Tissue Expander With Permanent Prosthesis Insertion/Removal /Removal w/reinsertion, Non- Biodegradable Drug Delivery Implant
6 Simple Repair Of Superficial Wounds Of Scalp, Neck, Axillae, External Genitalia, Trunk And/Or Extremities (Including Hands And Feet); 2.5 Cm , Or Less Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities (Excluding Hand And Feet); 2.5 Cm , Or Less Repair, Intermediate, Wounds Of Neck, Hands, Feet And/Or External , Genitalia; 2.5 Cm Or Less Repair, Complex, Scalp, Arms, And/Or Legs; 1.1 Cm To 2.5 Cm - each addt'l 5 or less above Repair, Complex, Forehead, Cheeks, Chin, Mouth, Neck, Axillae, Genitalia, Hands And/Or Feet; 1.1 Cm To 2.5 Cm -7.5
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