How To Use cpt 11954

cpt 11954 describes the subcutaneous injection of filling material, such as collagen, into the skin in amounts greater than 10.0 cc. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 11954.

1. What is cpt 11954?

cpt 11954 is a code used to describe the subcutaneous injection of filling material, such as collagen, into the skin in amounts greater than 10.0 cc. This procedure is typically performed to fill depressions caused by scars and wrinkles. It is important to note that cpt 11954 is specifically used for injections that exceed 10.0 cc.

2. Official Description

The official description of cpt 11954 is: ‘Subcutaneous injection of filling material (eg, collagen) over 10.0 cc.’

3. Procedure

The procedure for cpt 11954 involves the following steps:

1. The healthcare provider assesses the patient’s need for subcutaneous injection of filling material.
2. A suitable filling material, such as collagen, is selected.
3. The provider administers the injection into the subcutaneous layer of the skin.
4. The injection is performed using a syringe and needle, ensuring that the amount of filling material exceeds 10.0 cc.
5. The provider may use multiple injections to evenly distribute the filling material and achieve the desired results.
6. After the injection, the provider may massage the area to ensure proper distribution of the filling material.
7. The patient is monitored for any immediate adverse reactions or complications.

4. Qualifying circumstances

cpt 11954 is used when the patient requires a subcutaneous injection of filling material, such as collagen, in amounts greater than 10.0 cc. This procedure is typically performed to address depressions caused by scars and wrinkles. It is important to note that the injection must be administered by a qualified healthcare provider.

5. When to use cpt code 11954

cpt 11954 should be used when a subcutaneous injection of filling material, such as collagen, is performed in amounts exceeding 10.0 cc. It is important to accurately document the amount of filling material used to ensure proper coding and billing.

6. Documentation requirements

To support a claim for cpt 11954, the healthcare provider must document the following information:

• Patient’s diagnosis or indication for the subcutaneous injection
• Type and amount of filling material used
• Date of the procedure
• Location of the injection site
• Any additional procedures or services performed in conjunction with the injection
• Any complications or adverse reactions observed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for cpt 11954, ensure that the injection meets the criteria of exceeding 10.0 cc of filling material. It is important to accurately document the amount of filling material used to support the claim. Additionally, consider any applicable modifiers or other codes that may need to be reported in conjunction with cpt 11954, depending on the specific circumstances of the procedure.

8. Historical information

cpt 11954 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 11954

There are several similar codes to cpt 11954 that are used to describe subcutaneous injections of filling material in different amounts. These include:

• cpt 11950: This code is used for subcutaneous injections of filling material that are 1 cc or less.
• cpt 11951: This code is used for subcutaneous injections of filling material that are 1.1 cc to 5.0 cc.
• cpt 11952: This code is used for subcutaneous injections of filling material that are 5.1 cc to 10 cc.

9. Examples

Here are some examples of scenarios where cpt 11954 may be used:

1. A dermatologist performing a subcutaneous injection of collagen to fill deep facial wrinkles.
2. A plastic surgeon administering a subcutaneous injection of filling material to address depressed scars on a patient’s abdomen.
3. An aesthetician performing a subcutaneous injection of a dermal filler to enhance the volume and contour of a patient’s lips.
4. A cosmetic surgeon injecting a large volume of filling material to correct facial asymmetry caused by a congenital condition.
5. A dermatologist using a subcutaneous injection of collagen to fill in depressed areas on a patient’s hands caused by aging.
6. A plastic surgeon administering a subcutaneous injection of a filler to address contour irregularities following a previous surgical procedure.
7. An aesthetician performing a subcutaneous injection of a dermal filler to improve the appearance of acne scars on a patient’s face.
8. A cosmetic surgeon injecting a significant amount of filling material to correct volume loss in a patient’s cheeks.
9. A dermatologist using a subcutaneous injection of collagen to fill in depressed areas on a patient’s neck caused by weight loss.
10. A plastic surgeon administering a subcutaneous injection of a filler to address contour irregularities on a patient’s buttocks following a previous cosmetic procedure.