Does cpt code 11900 requre a modifer?

Answer 1

CPT 11900 is used for an injection, intralesional; for up to and including 7 lesions. The physician uses a syringe to inject a pharmacologic agent undrneath or into seven or fewer skin lesions in 11900 and more than seven lesions in 11901. The lesions may be any healed skin lesions including post-laceration and post-surgical scar bands. The physician may inject steroids or anesthetics (not pre-operative local anesthetic) into these lesions. Modifiers serve to provide more specific billing information to insurance carriers. There are quite a few modifiers that would be appropriate with cpt 11900. The physician might choose a modifier that states the procedure performed was more extensive than the original planned procedure or, if other procedures were performed on the same day although indpendently of cpt 11900, you could use a modifier 59 to identify services that are not normally reported together, but were appropriate under the circumstances. There are quite a few modifiers that could be used in conjunction with cpt 11900 based on a particular set of circumstances.