What is CPT Code 11042?: Understanding Basic Skin Cleaning Procedure






What is CPT Code 11042?: Understanding Basic Skin Cleaning Procedure

CPT code 11042 refers to a procedure where damaged or infected tissue on the outer layers of the skin is carefully removed to help prevent infection and promote healing. CPT 11042 represents “Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less.”

Procedure Explanation:

This procedure involves cleaning an area of the skin that is less than or equal to 20 square centimeters. It targets the outer skin layer and the tissue just beneath it, removing any unhealthy tissue. It doesn’t include treatment for deeper tissues or larger areas which may require different procedures.

Common Names:

  1. Debridement of skin and tissue
  2. Skin cleaning
  3. Tissue debridement

Relative Value Units (RVU):

The RVUs associated with this code are 1.01.

How This Procedure Appears:

  • Operating Room Schedule Name: Skin and tissue cleaning
  • Surgical Consent Form Name: Removal of unhealthy skin and tissue

Typical Patients and Diagnoses:

This procedure is for people who have skin injuries where the tissue may be damaged or infected. For example, someone with a burn, a pressure sore from being bedridden, or a wound that isn’t healing properly might need this treatment. The goal is to clean up the area and encourage healing.

Associated ICD-10 Codes:

  • L89.152: This code stands for a pressure ulcer or bed sore on the back of the hip that is still in the early stages.
  • S00.83XA: This code represents a superficial injury to a part of the head, meaning the damage is only on the surface, like cuts or scrapes.
  • T24.102A: This code describes a burn to a certain part of the body, in this case, the upper arm, affecting only the first layer of skin.

Summary

In summary, code 11042 describes the procedure of removing unhealthy skin tissue typically 20 sq cm or less in size. Typical ICD-10 codes associated with 11042 include L89.152 (Early stage pressure ulcer on the hip) and S00.83XA (Superficial injury to the head).


Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.


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