| Column 1 |
Column 2 |
Bundling Edit |
11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion
11104 Punch biopsy of skin (including simple closure, when performed); single lesion
11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion |
12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5cm or less
12013 ;2.6cm to 5.0cm
12014 ;5.1cm to 7.5cm
12015 ;7.6cm to 12.5cm
12016 ;12.6cm to 20.0cm
12017 ;20.1cm to 30.0cm
12018 ;over 30.1cm
12051 Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
12052 ;2.6cm to 5.0cm
12053 ;5.1cm to 7.5cm
12054 ;7.6cm to 12.5cm
12055 ;12.6cm to 20.0cm
12056 ;20.1cm to 30.0cm
12057 ;over 30.0 cm
13151 Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm
13152 ; 2.6 cm to 7.5 cm
13153 ; each additional 5 cm
92012 Established Intermediate Eye visit code
92014 Established Comprehensive Eye visit code
99211 – 99215 Established patient office E/M codes
99218 – 99220 Observation care E/M codes
99221 – 99223 New Inpatient E/M codes
99231 – 99233 Established Inpatient E/M codes
99291 – 99292 Critical care E/M codes
99304 – 99306 Initial Nursing Facility care E/M codes
99307 – 99310 Subsequent Nursing Facility care E/M codes
99446 – 99449 Telephone/Internet/ EHR assessment
99451 Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including written report to the patient’s treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time
99452 Interprofessional telephone/Internet/electronic health record assessment and management service provided by a treating/requesting physician or other qualified health care professional, 30 minutes |
All edits have an indicator of 1,
With the exception of CPT codes
99446 – 99451 |
| 11104 Punch biopsy of skin (including simple closure, when performed); single lesion
|
11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion |
Indicator 0 |
| 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion
|
11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion
11104 Punch biopsy of skin (including simple closure, when performed); single lesion |
Indicator 0 |
+11103 each separate/ additional lesion (list separately in addition to code for primary procedure)
+11105 each separate/ additional lesion (list separately in addition to code for primary procedure)
+11107 each separate/ additional lesion (list separately in addition to code for primary procedure) |
12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5cm or less
12013 ;2.6cm to 5.0cm
12014 ;5.1cm to 7.5cm
12015 ;7.6cm to 12.5cm
12016 ;12.6cm to 20.0cm
12017 ;20.1cm to 30.0cm
12018 ;over 30.1cm
12051 Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
12052 ;2.6cm to 5.0cm
12053 ;5.1cm to 7.5cm
12054 ;7.6cm to 12.5cm
12055 ;12.6cm to 20.0cm
12056 ;20.1cm to 30.0cm
12057 ;over 30.0 cm
13151 Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm
13152 ;2.6 cm to 7.5 cm
13153 ;each additional 5 cm
92012 Established Intermediate Eye visit code
92014 Established Comprehensive Eye visit code
99211 – 99215 Established patient office E/M codes
99218 – 99220 Observation care E/M codes
99221 – 99223 New Inpatient E/M codes
99231 – 99233 Established Inpatient E/M codes
99291 – 99292 Critical care E/M codes
99304 – 99306 Initial Nursing Facility care E/M codes
99307 – 99310 Subsequent Nursing Facility care E/M codes
99446 – 99451 Telephone/Internet/ EHR assessment |
All edits have an indicator of 1,
With the exception of CPT codes
99446 – 99451 |
| 99273 Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG) |
99211 Established E/M code
99446-99449 Telephone/Internet/ EHR assessment |
All edits have an indicator of 1 |
| 99274 Electroretinography (ERG) with interpretation and report; multifocal (mfERG) |
99211 Established E/M code
99446-99449 Telephone/Internet/ EHR assessment |
All edits have an indicator of 1 |
| 0509T Electroretinography (ERG) with interpretation and report, pattern (PERG) |
99211 Established E/M code
99446 – 99449 Telephone/Internet/ EHR assessment |
All edits have an indicator of 1 |
| 0514T Intraoperative visual axis identification using patient fixation (List separately in addition to code for primary procedure) |
12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5cm or less
12013 ;2.6cm to 5.0cm
12014 ;5.1cm to 7.5cm
12015 ;7.6cm to 12.5cm
12016 ;12.6cm to 20.0cm
12017 ;20.1cm to 30.0cm
12018 ;over 30.1cm
12051 Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
12052 ;2.6cm to 5.0cm
12053 ;5.1cm to 7.5cm
12054 ;7.6cm to 12.5cm
12055 ;12.6cm to 20.0cm
12056 ;20.1cm to 30.0cm
12057 ;over 30.0 cm
13151 Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm
13152 ;2.6 cm to 7.5 cm
13153 ;each additional 5 cm
92012 Established Intermediate Eye visit code
92014 Established Comprehensive Eye visit code
99211 – 99215 Established patient office E/M codes
99218 – 99220 Observation care E/M codes
99221 – 99223 New Inpatient E/M codes
99231 – 99233 Established Inpatient E/M codes
99291 – 99292 Critical care E/M codes
99304 – 99306 Initial Nursing Facility care E/M codes
99307 – 99310 Subsequent Nursing Facility care E/M codes
99155 – 99157 Moderate sedation E/M codes
|
All edits have an indicator of 1,
With the exception of CPT codes
99155 – 99157 |
| 67810 Incisional biopsy of eyelid skin including lid margin |
11102 – 11106 Biopsy of skin
99451 Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including written report to the patient’s treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time
99452 Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including written report to the patient’s treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time
|
All edits have an indicator of 1, with the exception of CPT codes
99451 – 99452 |
| 68100 Incisional biopsy of eyelid skin including lid margin |
11102 – 11107 Biopsy of skin
99451 – 99452 Telephone/Internet/ EHR assessment |
All edits have an indicator of 1, with the exception of CPT codes
99451 – 99452 |
| 11310 Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less |
11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion
99451 – 99452 Telephone/Internet/ EHR assessment |
Indicator of 1, with the exception of CPT codes
99451 – 99452 |
11311 Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm
11440 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm
17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions
17280 Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less
|
11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion
11104 Punch biopsy of skin (including simple closure, when performed); single lesion
99451 – 99452 Telephone/Internet/ EHR assessment |
Indicator of 1, with the exception of CPT codes
99451 – 99452 |
11312 Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm 11313 ;diameter over 2.0 cm
11441 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; diameter 0.6 to 1.0 cm
11442 ;diameter 1.1 to 2.0 cm
11443 ;diameter 2.1 to over 3.0 cm
11444 ;diameter 3.1 to over 4.0 cm
11446 ;diameter over 4.0 cm
11640 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less
11641 ;excised diameter 0.6 to 1.0 cm
11642 ;excised diameter 1.1 to 2.0 cm
11643 ;excised diameter 2.1 to 3.0 cm
11644 ;excised diameter 3.1 to 4.0 cm
11646 ;excised diameter over 4.0 cm
14040 Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less
14041 ;defect 10.1 sq cm to 30.0 sq cm
14060 Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less
14061 ;defect 10.1 sq cm to 30.0 sq cm
15120 Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)
15260 Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less
15576 Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips or intraoral
15820 Blepharoplasty, lower eyelid
15821 ;with extensive herniated fat pad
15822 Blepharoplasty, upper eyelid
15823 ;with excessive skin weighting down lid
17281 Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm
17282 ;lesion diameter 1.1 to 2.0 cm
17283 ;lesion diameter 2.1 to 3.0 cm
17284 ;lesion diameter 3.1 to 4.0 cm
17286 ;lesion diameter over 4.0 cm |
11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion
11104 Punch biopsy of skin (including simple closure, when performed); single lesion
11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion
99451 – 99452 Telephone/Internet/ EHR assessment |
Indicator of 1, with the exception of CPT codes
99451 – 99452 |