How To Use cpt 11462

cpt 11462 describes the excision of skin and subcutaneous tissue for hidradenitis in the inguinal region, along with a simple or intermediate repair. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 11462.

1. What is cpt 11462?

cpt 11462 is a code used to describe the excision of skin and subcutaneous tissue for the treatment of hidradenitis in the inguinal region. This procedure involves the removal of painful lesions associated with sweat glands, followed by a simple or intermediate repair of the excision site.

2. Official Description

The official description of cpt 11462 is: ‘Excision of skin and subcutaneous tissue for hidradenitis, inguinal with simple or intermediate repair.’

3. Procedure

In this procedure, the physician removes the affected skin and subcutaneous tissue in the inguinal (groin) region to treat hidradenitis. The patient is taken to the operating room and placed on the surgical table. The area to be excised is labeled and cleansed. The provider then makes an incision in the inner layer of skin and dissects down to the level of the apocrine (sweat) glands. The entire diseased skin and subcutaneous fatty tissue overlying the apocrine glands are excised. Finally, the provider performs a simple or intermediate repair of the wound using sutures or skin staples.

4. Qualifying circumstances

cpt 11462 is used for patients with hidradenitis in the inguinal region, a chronic skin condition characterized by lumps and tunnels involving the sweat glands. The procedure is performed by a physician and requires the excision of skin and subcutaneous tissue, along with a simple or intermediate repair. The patient must have a documented diagnosis of hidradenitis, and the procedure must be medically necessary for the treatment of the condition.

5. When to use cpt code 11462

cpt 11462 should be used when a physician performs the excision of skin and subcutaneous tissue for hidradenitis in the inguinal region, along with a simple or intermediate repair. This code is appropriate when the procedure is medically necessary and meets the specific criteria outlined in the official description.

6. Documentation requirements

To support a claim for cpt 11462, the physician must document the following information:

• Patient’s diagnosis of hidradenitis
• Specific location of the excision (inguinal region)
• Description of the excision and repair performed
• Date of the procedure
• Any additional relevant information, such as complications or additional procedures performed
• Signature of the performing physician

7. Billing guidelines

When billing for cpt 11462, ensure that the procedure meets the specific criteria outlined in the official description. The excision and repair must be performed by a physician, and the procedure must be medically necessary. It is important to follow all coding and billing guidelines provided by the payer to ensure accurate and timely reimbursement.

8. Historical information

cpt 11462 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Similar codes to cpt 11462

Five similar codes to cpt 11462 include:

• cpt 11463: Excision of skin and subcutaneous tissue for hidradenitis, inguinal with complex repair
• cpt 11470: Excision of pilonidal cyst or sinus; simple
• cpt 11471: Excision of pilonidal cyst or sinus; extensive
• cpt 11600: Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm
• cpt 11601: Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 4.0 cm

9. Examples

1. A physician excising skin and subcutaneous tissue for hidradenitis in the inguinal region and performing a simple repair.
2. A surgeon removing painful lesions associated with sweat glands in the groin area and performing an intermediate repair.
3. A dermatologist excising skin and subcutaneous tissue for hidradenitis in the inguinal region and performing a simple repair.
4. A plastic surgeon removing lumps and tunnels involving the sweat glands in the inguinal region and performing an intermediate repair.
5. An oncologist excising skin and subcutaneous tissue for hidradenitis in the inguinal region and performing a simple repair.
6. A general surgeon removing diseased skin and subcutaneous fatty tissue overlying the apocrine glands in the groin area and performing an intermediate repair.
7. A physician excising skin and subcutaneous tissue for hidradenitis in the inguinal region and performing a simple repair.
8. A surgeon removing painful lesions associated with sweat glands in the groin area and performing an intermediate repair.
9. A dermatologist excising skin and subcutaneous tissue for hidradenitis in the inguinal region and performing a simple repair.
10. A plastic surgeon removing lumps and tunnels involving the sweat glands in the inguinal region and performing an intermediate repair.