General CPT codes

Percutaneous cryoablation of one or more bone tumors, including destruction of adjacent soft tissue involved by tumor extension, with imaging guidance bundled into the code when performed.

Percutaneous ablation of one or more bone tumors using radiofrequency energy, including treatment of adjacent soft tissue involved by tumor extension, with imaging guidance when performed.

Bone graft harvested from the iliac crest and transferred to a recipient site using microvascular anastomosis to restore the graft's blood supply.

Harvest and transfer of a vascularized fibula bone graft using microvascular technique, including anastomosis of the accompanying blood supply to the recipient site.

Removal and replacement of a single strut in a multiplane unilateral external fixation system that uses stereotactic computer-assisted (spatial frame) adjustment, including imaging.

Radical resection of a soft tissue tumor of the abdominal wall measuring 5 cm or greater, typically performed for malignant neoplasms such as sarcoma.

Radical resection of a soft tissue tumor (e.g., sarcoma) of the abdominal wall measuring less than 5 cm, including excision of surrounding tissue and any involved anatomical structures beyond the tumor margin.

Secondary closure of an extensively dehisced or complicated surgical wound, requiring reopening, debridement of non-viable tissue, and layered repair.

Excisional debridement at an open fracture or dislocation site extending through skin, subcutaneous tissue, muscle fascia, muscle, and bone — the most extensive tier of the 11010–11012 series.

Surgical exploration of a penetrating traumatic wound located in the abdomen, flank, or back to assess depth and damage to underlying structures.

Open harvesting of a fascia lata graft by incision and area exposure, complex or sheet graft technique

Surgical removal of a deeply embedded fixation implant — such as a buried screw, plate, rod, nail, wire, or metal band — requiring a deep incision typically below the muscle layer.

Surgical harvest and placement of a composite graft composed of dermis, fat, fascia, or a combination of those tissue layers from a donor site to a recipient site.

Surgical removal of a subfascial (intramuscular) soft tissue tumor of the abdominal wall measuring less than 5 cm, with specimen sent for pathologic analysis.

Application of a uniplane, unilateral external fixation system using pins or wires configured in a single plane on one side of the body.

Intermediate repair of wounds on the scalp, axillae, trunk, or extremities (excluding hands and feet) exceeding 30.0 cm in total length, requiring layered closure of subcutaneous tissue and/or superficial fascia in addition to skin closure.

Excision of a subcutaneous soft tissue tumor of the abdominal wall measuring less than 3 cm, including the tumor plus the margin required for complete removal.

Surgical removal of a deep or complicated foreign body lodged within muscle tissue or a tendon sheath, requiring incision and dissection to access and extract the object.

Intermediate repair of wounds on the scalp, axillae, trunk, or extremities (excluding hands and feet), measuring 20.1 to 30 cm in total length.

Surgical harvest of a tendon from a distant anatomical site — such as the palmaris longus, plantaris, or toe extensor — for use as a graft in reconstruction elsewhere.

Debridement of skin and subcutaneous tissue, including removal of foreign material, at the site of an open fracture or open dislocation.

Removal of an external fixation system performed under anesthesia, reported when the complexity of fixator removal requires an anesthetic beyond local infiltration.

Autologous soft tissue grafting harvested by direct excision — a block of fat, dermis, fascia, or similar tissue cut from a donor site and transferred to fill a defect in the same patient during the same operative session.

Surgical removal of a subcutaneous soft tissue tumor from the abdominal wall measuring 3 cm or greater in greatest diameter plus required margin.

Intermediate repair of wounds on the scalp, axillae, trunk, or extremities (excluding hands and feet), measuring 12.6 to 20.0 cm in total length.

Excision of a nerve lesion (tumor or mass) arising from a cutaneous somatic nerve — the nerve supply to a defined skin region.

Minor autogenous bone harvest from a separate donor-site incision — a dowel, button, or similarly small graft quantity.

Disposable negative pressure wound therapy (NPWT) applied to wounds with a total surface area exceeding 50 square centimeters, per session.

Removal of a superficial implant such as a buried wire, pin, or rod through a small incision without layered closure

Disposable NPWT device application and care for wound surface area at or below 50 square centimeters, billed per session.

Percutaneous bone biopsy using a trocar or needle targeting deep skeletal structures such as the vertebral body or femur.

Harvesting of fascia lata or other fascia from the patient for use as an autograft in a separate reconstructive procedure.

Surgical biopsy of deep muscle tissue located below the fascia or beneath adjacent muscles or bone structures.

Skin substitute graft application to the trunk, arms, or legs in pediatric patients, covering the first 100 sq cm of wound surface area when total wound surface area is 100 sq cm or greater.

Needle placement into muscle or soft tissue for radiation therapy treatment field localization or targeting purposes.

Monitoring of interstitial fluid pressure within a muscle compartment, including device insertion (wick catheter or needle manometer technique), performed to detect compartment syndrome.

Destruction of a peripheral nerve or branch using a neurolytic agent — chemical, thermal, electrical, or radiofrequency — for pain relief.

Insertion of a wire or pin into bone with application of skeletal traction, including subsequent removal of the traction device.

Aspiration and injection procedure to treat a bone cyst — fluid is drawn out and a therapeutic agent is injected to promote healing.

Surgical removal of a tissue sample from a superficial muscle — tissue located just below the skin surface or just beneath the muscle fascia — for diagnostic laboratory analysis.

Harvesting of a major or large autogenous bone graft from any donor site, performed through a separate skin incision not included in the primary procedure code.

New patient office or outpatient visit requiring high-complexity medical decision making, or 60–74 minutes of total time on the date of encounter.

Surgical removal of a foreign body (such as a splinter, thorn, bullet fragment, or gravel) lodged in a muscle or tendon sheath, performed through a skin incision — simple complexity.

Add-on code for implanting a biologic material — such as acellular dermal matrix — into breast or trunk tissue to provide structural reinforcement during a primary reconstructive or repair procedure.

Percutaneous bone biopsy of a superficial bone using a trocar or needle, yielding tissue for diagnostic analysis.

MRI of the lower extremity (excluding joint) performed without contrast material

Percutaneous needle biopsy of muscle tissue obtained without open incision, used to sample suspected pathology for diagnostic analysis.

Limited-area bone scintigraphy using an injected radionuclide to image a single bone or joint region for diagnosis of fractures, infection, or osseous disease.

Highest-level office or outpatient E/M visit for an established patient, qualifying via high-complexity medical decision making or 40–54 minutes of total provider time on the date of service.

New patient office or outpatient visit requiring moderate medical decision making, or 45–59 minutes of total provider time on the date of the encounter.

Surgical implantation of an electrical stimulation device at a fracture or fusion site to promote bone healing from within.

Diagnostic bone marrow aspiration procedure — any number of aspirations performed for diagnostic evaluation, reported once regardless of how many passes are made.

Surgical collection of bone marrow from a patient's own body for autologous transplantation use.

Manual preparation and insertion of a drug-delivery device into the intramedullary canal of a bone, reported as an add-on to the primary procedure.

Office visit for an established patient requiring moderate-complexity medical decision making (MDM), or 30–39 minutes of total provider time on the date of service.

Therapeutic injection into a sinus tract — instilling medication directly into the pathologic channel to treat ongoing infection or inflammation.

Ischemic limb exercise test with serial specimen collection for muscle metabolite analysis

Removal of an intra-articular drug delivery device from a joint, reported as an add-on to the primary procedure code.

Open surgical biopsy of a superficial bone, such as the ilium, sternum, spinous process, rib, or femoral trochanter, performed through a skin incision to obtain tissue for diagnosis.

New patient office or outpatient visit requiring a medically appropriate history and/or examination with low-complexity medical decision-making, or 30–44 minutes of total provider time on the date of the encounter.