How To Use CPT Code 0419T

CPT 0419T describes the destruction of more than 50 neurofibromas of the skin on the face, head, and neck that extend below the skin into the subcutaneous tissue. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0419T?

CPT 0419T can be used to describe the destruction of more than 50 neurofibromas on the face, head, and neck that extend below the skin into the subcutaneous tissue. Neurofibromas are benign tumors that develop within the fibrous tissue of the nerves. This code does not specify the technique used for the destruction, but common methods include laser treatment and electrodesiccation.

2. Official Description

The official description of CPT code 0419T is: ‘Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater than 50 neurofibromas.’ It is important to note that this code should be reported once per session, regardless of the number of lesions treated.

3. Procedure

1. The provider preps and anesthetizes the patient, typically using local anesthesia.
2. Using a laser or electrodesiccation, the provider destroys more than 50 neurofibromas on the face, head, and neck that extend below the skin into the subcutaneous tissue.
3. The technique used may vary, but the goal is to effectively remove the neurofibromas.
4. This procedure can be performed in a single session, and the number of lesions treated does not affect the reporting of the code.

4. Qualifying circumstances

CPT 0419T is applicable when the provider destroys more than 50 neurofibromas on the face, head, and neck that extend below the skin into the subcutaneous tissue. The patient must have neurofibromas in this specific area, and the procedure must be performed by a qualified healthcare professional. The code does not specify any additional qualifying circumstances.

5. When to use CPT code 0419T

CPT code 0419T should be used when the provider is performing the destruction of more than 50 neurofibromas on the face, head, and neck that extend below the skin into the subcutaneous tissue. It is important to note that this code should not be used for excision of neurofibromas, as a different code (64792) should be reported for that procedure.

6. Documentation requirements

To support a claim for CPT code 0419T, the provider must document the following information:

• Patient’s diagnosis of neurofibromas on the face, head, and neck
• Number of neurofibromas destroyed during the session
• Technique used for the destruction (e.g., laser, electrodesiccation)
• Date of the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 0419T, ensure that the provider is performing the destruction of more than 50 neurofibromas on the face, head, and neck that extend below the skin into the subcutaneous tissue. This code should be reported once per session, regardless of the number of lesions treated. It is important to note that CPT code 0419T should not be reported with other codes for the same session. If the destruction of more than 100 neurofibromas on the trunk and extremities is performed, a different code (0420T) should be used.

8. Historical information

CPT code 0419T was added to the Current Procedural Terminology system on January 1, 2016. There have been no updates to the code since its addition. It is important to stay updated with any changes or revisions to ensure accurate reporting.

9. Examples

1. A dermatologist performing the destruction of 60 neurofibromas on the face of a patient.
2. A plastic surgeon using a laser to destroy 70 neurofibromas on the head and neck of a patient.
3. An oncologist performing the destruction of 80 neurofibromas on the face, head, and neck of a patient.
4. A dermatology resident assisting in the destruction of 55 neurofibromas on the face of a patient under the supervision of a attending physician.
5. A plastic surgery team using electrodesiccation to destroy 90 neurofibromas on the head and neck of a patient.
6. An oncology nurse performing the destruction of 75 neurofibromas on the face, head, and neck of a patient.
7. A dermatologist using a laser to destroy 65 neurofibromas on the face of a patient.
8. A plastic surgeon performing the destruction of 85 neurofibromas on the head and neck of a patient.
9. An oncologist using electrodesiccation to destroy 95 neurofibromas on the face, head, and neck of a patient.
10. A dermatology resident assisting in the destruction of 50 neurofibromas on the face of a patient under the supervision of an attending physician.