The Integumentary System subsection includes codes assigned by many different physician specialties. There is no restriction on who reports the codes from this or any other subsection. You may find a family practitioner using the incision and drainage, debridement, or repair codes; a dermatologist using excision and destruction codes; a plastic surgeon using skin graft codes; or a surgeon using breast procedure codes.

 

You will learn about the Integumentary System subsection by first reviewing the subsection format and then learning about coding the services and procedures in the subsection.

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FORMAT

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The subsection is formatted on the basis of anatomic site and category of procedure. They are denoted with an asterisks (*) below have special instructions unique to that subsection. Where these are indicated, special notes or guidelines will be presented preceding those procedural terminology listings, referring to that subsection specifically.

 

For example, an anatomic site is “Neck” and a category of procedure is “Repair.”

 

The subsection Integumentary contains the subheadings:

 

General (10004-10021)

 

Fine Needle Aspiration (FNA) Biopsy* (10004- 10021)

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Integumentary System (10030-19499)

Skin, Subcutaneous, and Accessory Structures (10030-11646)

1. Introduction and Removal (10030-10036)

• Incision and Drainage (10040-10180)

• Debridement* (11000-11047)

• Paring or Cutting (11055-11057)

• Biopsy* (11102-11107)

• Removal of Skin Tags* (11200-11201)

• Shaving of Epidermal or Dermal Lesions* (11300- 11313)

• Excision—Benign Lesions* (11400-11471)

• Excision—Malignant Lesions* (11600-11646)

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Nails (11719-11765)

Pilonidal Cyst (11770-11772)

Introduction (11900-11983)

Repair (Closure)* (12001-16036)

Repair—Simple* (12001-12021)

Repair—Intermediate* (12031-12057)

Repair—Complex* (13100-13160)

Adjacent Tissue Transfer or Rearrangement* (14000-14350)

Skin Replacement Surgery* (15002-15278)

Definitions*

Surgical Preparation (15002-15278)

Autografts/Tissue Cultured Autograft (15040- 15261)

Skin Substitute Grafts* (15271-15278)

Flaps (Skin and/or Deep Tissues)* (15570-15738)

Other Flaps and Grafts* (15740-15777)

Other Procedures (15780-15879)

Pressure Ulcers (Decubitus Ulcers) (15920-15999)

Burns, Local Treatment* (16000-16036)

 

Destruction* (17000-17999)

Destruction, Benign or Premalignant Lesions (17000-17250)

Destruction, Malignant Lesions, Any Method (17260-17286)

Mohs Micrographic Surgery* (17311-17315)

Other Procedures (17340-17999)

 

Breast (19000-19499)

Introduction* (19281-19298)

Mastectomy Procedures* (19300-19307)

Repair and/or Reconstruction* (19316-19396)

Other Procedures (19499)