| CPT or HCPCS Code | Description |
| 11920 | Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less |
| 11921 |
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm
|
| 11922 |
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition to code for primary procedure)
|
| 11960 | Insertion of tissue expander(s) for other than breast, including subsequent expansion |
| 11970 | Replacement of tissue expander with permanent prosthesis |
| 11971 | Removal of tissue expander(s) without insertion of prosthesis |
| 15750 | Flap; neurovascular pedicle |
| 15760 | Graft; composite (e.g., full thickness of ear or nasal ala), including primary closure; donor area |
| 15770 |
Graft; derma-fat fascia
|
| 15786 | Abrasion; single lesion (e.g., keratosis, scar) |
| 15787* |
Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure)
|
| 15819 | Cervicoplasty |
| 15830 | Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy |
| 15847 | Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (e.g., abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure) |
| 17106 | Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm |
| 17107 |
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm
|
| 17108 |
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm
|
| 19300 | Mastectomy for gynecomastia |
| 19316 | Mastopexy |
| 19324 | Mammoplasty, augmentation; without prosthetic implant |
| 19325 |
Breast augmentation with implant
|
| 19328 | Removal of intact breast implant |
| 19330 | Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) |
| 19340 | Insertion of breast implant on same day of mastectomy (ie, immediate) |
| 19342 | Insertion or replacement of breast implant on separate day from mastectomy |
| 19350 | Nipple/areola reconstruction |
| 19355 | Correction of inverted nipples |
| 19357 | Tissue expander placement in breast reconstruction, including subsequent expansion(s) |
| 19361 | Breast reconstruction with latissimus dorsi flap |
| 19364 | Breast reconstruction with free flap (eg, fTRAM, DIEP, SIEA, GAP flap) |
| 19367 | Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap |
| 19368 |
Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)
|
| 19369 | Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap |
| 19370 | Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy |
| 19371 | Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents |
| 19380 | Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction) |
| 19396 | Preparation of moulage for custom breast implant |
| 20912 | Cartilage graft; nasal septum |
| 21120 | Genioplasty; augmentation (autograft, allograft, prosthetic material) |
| 21121 |
Genioplasty; sliding osteotomy, single piece
|
| 21122 |
Genioplasty; sliding osteotomies, two or more osteotomies (e.g., wedge excision or bone wedge reversal for asymmetrical chin)
|
| 21123 |
Genioplasty; sliding, augmentation with interpositional bone grafts (including obtaining autografts)
|
| 21125 | Augmentation, mandibular body or angle; prosthetic material |
| 21127 |
Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)
|
| 21137 | Reduction, forehead; contouring only |
| 21138 |
Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)
|
|
21139
|
Reduction forehead; contouring and set back of anterior frontal sinus wall
|
| 21141 | Reconstruction midface, LeFort I; single piece, segment movement in any direction (e.g., for Long Face Syndrome), without bone graft |
| 21142 |
Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft
|
| 21143 |
Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft
|
|
21145
|
Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)
|
|
21146
|
Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (e.g., ungrafted unilateral alveolar cleft)
|
|
21147
|
Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteotomies) three or more pieces, segment movement in any direction requiring bone grafts (includes obtaining autografts) (e.g., ungrafted bilateral alveolar cleft or multiple osteotomies)
|
| 21150 | Reconstruction midface, LeFort II; anterior intrusion (e.g., Treacher-Collins Syndrome) |
| 21151 |
Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)
|
|
21154
|
Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I
|
|
21155
|
Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I
|
|
21159
|
Reconstruction midface, LeFort III (extra and intra-cranial) with forehead advancement (e.g., mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I
|
|
21160
|
Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I
|
| 21172 | Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) |
| 21175 | Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (e.g., plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts) |
| 21179 | Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) |
| 21180 |
Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)
|
|
21188
|
Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)
|
|
21193
|
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft
|
|
21194
|
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)
|
| 21195 | Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation |
| 21196 |
Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation
|
|
21198
|
Osteotomy, mandible, segmental;
|
|
21199
|
Osteotomy, mandible, segmental; with genioglossus advancement
|
| 21206 | Osteotomy, maxilla, segmental (e.g., Wassmund or Schuchard) |
| 21208 | Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) |
| 21209 | Osteoplasty, facial bones; reduction |
| 21210 | Graft, bone; nasal maxillary or malar areas (includes obtaining graft) |
| 21215 |
Graft, bone; mandible (includes obtaining graft)
|
|
21230
|
Graft, rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)
|
|
21235
|
Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)
|
|
21244
|
Reconstruction of mandible, extraoral, with transosteal bone plate (e.g., mandibular staple bone plate)
|
|
21245
|
Reconstruction of mandible or maxilla, subperiosteal implant; partial
|
|
21246
|
Reconstruction of mandible or maxilla, subperiosteal implant; complete
|
| 21247 | Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (e.g., for hemifacial microsomia) |
| 21248 | Reconstruction of mandible or maxilla, endosteal implant (e.g., blade, cylinder); partial |
| 21249 |
Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete
|
| 21255 | Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) |
| 21270 | Malar augmentation prosthetic material |
| 21275 | Secondary revision of orbitocraniofacial reconstruction |
| 21280 | Medial canthopexy (separate procedure) |
| 21282 | Lateral canthopexy |
| 21740 | Reconstructive repair of pectus excavatum or carinatum; open |
| 30150 | Rhinectomy; partial |
| 30160 |
Rhinectomy; total
|
| 30400 | Rhinoplasty; primary; lateral and alar cartilages and/or elevation of nasal tip |
| 30410 |
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip
|
|
30420
|
Rhinoplasty, primary; including major septal repair
|
|
30430
|
Rhinoplasty, secondary; minor revision (small amount of nasal tip work)
|
|
30435
|
Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)
|
|
30450
|
Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)
|
| 30620 | Septal or other intranasal dermatoplasty (does not include obtaining graft) |
| 36468 | Single or multiple injections of sclerosing solutions, spider veins (telangiectasia); limb or trunk |
| 36470 | Injection of sclerosant; single incompetent vein (other than telangiectasia) Injection of sclerosing solution; single vein |
| 36471 |
Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg multiple veins, same leg
|
| 37788 | Penile revascularization, artery, with or without vein graft |
| 37790 | Penile venous occlusive procedure |
| 40820 | Destruction of lesion or scar of vestibule of mouth by physical methods (e.g., laser, thermal, cryo, chemical) |
| 41510 | Suture of tongue to lip for micrognathia (Douglas type procedure) |
| 67900 | Repair of brow ptosis (supraciliary, mid-forehead or coronal approach) |
| 67901 | Repair of blepharoptosis; frontalis muscle technique with suture or other material |
| 67902 |
Repair of blepharoptosis; frontalis muscle technique with fascial sling (includes obtaining fascia)
|
|
67903
|
Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach
|
|
67904
|
Repair of blepharoptosis; (tarso) levator resection or advancement external approach
|
|
67906
|
Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)
|
|
67908
|
Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (e.g., Fasanella-Servat type)
|
| 67909 | Reduction of overcorrection of ptosis |
| 67911 | Correction of lid retraction |
| 69300 | Otoplasty, protruding ear, with or without size reduction |
| 96405 | Chemotherapy administration, intralesional; up to and including 7 lesions |
| 96406 |
Chemotherapy administration; intralesional, more than 7 lesions
|
| 96921 | Laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 500 sq cm |
| 96922 | Laser treatment for inflammatory skin disease (psoriasis); over 500 sq cm |
| HCPCS Code | Description |
| C1789 | Prosthesis, breast (Implantable) |
| L8600 | Implantable breast prosthesis, silicone or equal |
