Code NFAC FAC Global PC TC Description

Code NFAC FAC Global PC TC Description

Surgery Service Codes Spreadsheet as of August 1, 2021 Note: Procedure codes and their corresponding descriptions are obtained from the AMA 2020 CPT and HCPCS. Code NFAC FAC Global PC TC Description Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately 10004 $40.44 $33.77 - - - in addition to code for primary procedure) 10005 $102.20 $55.83 - - - Fine needle aspiration biopsy, including ultrasound guidance; first lesion Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List 10006 $46.41 $38.30 - - - separately in addition to code for primary procedure) 10007 $239.08 $72.71 - - - Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List 10008 $135.39 $47.57 - - - separately in addition to code for primary procedure) 10009 $379.52 $88.53 - - - Fine needle aspiration biopsy, including CT guidance; first lesion Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in 10010 $227.72 $64.25 - - - addition to code for primary procedure) 10011 - - I.C. - - Fine needle aspiration biopsy, including MR guidance; first lesion Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in 10012 - - I.C. - - addition to code for primary procedure) 10021 $78.04 $43.26 - - - Fine needle aspiration biopsy, without imaging guidance; first lesion 10030 $500.16 $107.43 - - - Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous 10035 $367.39 $66.54 - - - Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive 10036 $314.01 $33.74 - - - seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure) Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, 10040 $87.50 $41.70 - - - pustules) Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or 10060 $96.12 $79.60 - - - subcutaneous abscess, cyst, furuncle, or paronychia); simple or single 10061 $165.57 $143.55 - - - Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple 10080 $169.76 $81.65 - - - Incision and drainage of pilonidal cyst; simple 10081 $243.39 $134.99 - - - Incision and drainage of pilonidal cyst; complicated 10120 $121.34 $81.63 - - - Incision and removal of foreign body, subcutaneous tissues; simple 10121 $216.34 $145.91 - - - Incision and removal of foreign body, subcutaneous tissues; complicated 10140 $135.70 $93.96 - - - Incision and drainage of hematoma, seroma or fluid collection 10160 $103.78 $74.80 - - - Puncture aspiration of abscess, hematoma, bulla, or cyst 10180 $203.72 $140.25 - - - Incision and drainage, complex, postoperative wound infection 11000 $44.92 $22.02 - - - Debridement of extensive eczematous or infected skin; up to 10% of body surface 11001 $18.55 $11.01 - - - Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure) Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue 11004 - - $448.00 - - infection; external genitalia and perineum Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue 11005 - - $608.93 - - infection; abdominal wall, with or without fascial closure 11006 - - $549.89 - - Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or 11008 - - $214.07 - - recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary procedure) 11010 $379.48 $217.17 - - - Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues Debridement including removal of foreign material at the site of an open fracture and/or an 11011 $421.24 $235.45 - - - open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle Debridement including removal of foreign material at the site of an open fracture and/or an 11012 $537.99 $327.86 - - - open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm 11042 $100.45 $47.70 - - - or less Page 1 of 147 Surgery Service Codes Spreadsheet as of August 1, 2021 Note: Procedure codes and their corresponding descriptions are obtained from the AMA 2020 CPT and HCPCS. Code NFAC FAC Global PC TC Description Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if 11043 $183.93 $121.03 - - - performed); first 20 sq cm or less Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if 11044 $246.74 $177.18 - - - performed); first 20 sq cm or less 11045 $32.86 $20.68 - - - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if 11046 $58.06 $43.57 - - - performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if 11047 $96.31 $76.90 - - - performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) 11055 $50.60 $12.34 - - - Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion 11056 $59.41 $17.97 - - - Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions 11057 $65.13 $22.81 - - - Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions 11102 $80.33 $30.48 - - - Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion 11103 $42.61 $17.68 - - - (List separately in addition to code for primary procedure) 11104 $101.03 $38.13 - - - Punch biopsy of skin (including simple closure, when performed); single lesion Punch biopsy of skin (including simple closure, when performed); each separate/additional 11105 $48.52 $20.70 - - - lesion (List separately in addition to code for primary procedure) 11106 $122.32 $46.10 - - - Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each 11107 $57.58 $24.82 - - - separate/additional lesion (List separately in addition to code for primary procedure) 11200 $70.62 $58.45 - - - Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part 11201 $14.51 $12.77 - - - thereof (List separately in addition to code for primary procedure) Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm 11300 $80.57 $26.95 - - - or less Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 11301 $97.38 $40.86 - - - 1.0 cm Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 11302 $112.57 $47.94 - - - 2.0 cm Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 11303 $123.63 $56.39 - - - 2.0 cm Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion 11305 $84.34 $30.43 - - - diameter 0.5 cm or less Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion 11306 $98.68 $39.26 - - - diameter 0.6 to 1.0 cm Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion 11307 $115.10 $50.76 - - - diameter 1.1 to 2.0 cm Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion 11308 $122.53 $57.03 - - - diameter over 2.0 cm Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous 11310 $92.99 $36.47 - - - membrane; lesion diameter 0.5 cm or less Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous 11311 $109.84 $49.84 - - - membrane; lesion diameter 0.6 to 1.0 cm Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous 11312 $126.94 $59.12 - - - membrane; lesion diameter 1.1 to 2.0 cm Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous 11313 $147.81 $76.80 - - - membrane; lesion diameter

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