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The procedure described by CPT® Code 11952 involves the subcutaneous injection of a filling material, which is commonly collagen. This procedure is typically performed to address various dermatological concerns, including the treatment of acne scars and facial wrinkles. The injection is administered beneath the skin's surface, allowing the filling material to provide volume and improve the appearance of the skin. The specific volume of filling material used in this procedure ranges from 5.1 to 10.0 cc, which is crucial for achieving the desired aesthetic results. It is important to note that there are different codes for varying volumes of injection: CPT® Code 11950 is used for injections of 1 cc or less, CPT® Code 11951 is for injections between 1.1 to 5.0 cc, and CPT® Code 11954 is designated for injections exceeding 10.0 cc. This structured coding system helps ensure accurate billing and documentation for the services rendered.
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The subcutaneous injection of filling material, as described by CPT® Code 11952, is indicated for various dermatological conditions. The primary indications include:
The procedure for the subcutaneous injection of filling material involves several key steps to ensure safety and effectiveness. The following procedural steps are outlined:
Following the subcutaneous injection of filling material, patients may experience some swelling, redness, or tenderness at the injection sites. These effects are typically mild and resolve within a few days. Patients are often advised to avoid strenuous activities and direct sun exposure for a short period following the procedure to minimize complications. Additionally, the physician may provide specific aftercare instructions, including recommendations for skincare products or follow-up appointments to assess the results and address any concerns. It is essential for patients to adhere to these guidelines to ensure optimal healing and satisfaction with the results.
| Short Descr | TX CONTOUR DEFECTS 5.1-10CC | Medium Descr | SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC | Long Descr | Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc | Status Code | Restricted Coverage | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 1 | CCS Clinical Classification | 174 - Other non-OR therapeutic procedures on skin and breast |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | QS | Monitored anesthesia care service | QX | Crna service: with medical direction by a physician | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2013-01-01 | Changed | Short Descriptor changed. |
| Pre-1990 | Added | Code added. |
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