Key Facts About CPT 11900 Service type: Therapeutic procedure (injection) Procedure: Intralesional injection Lesion count: Up to and including 7 lesions Medication: Reported separately (e.g., corticosteroids) Setting: Office or outpatient clinic Provider type: Physicians and qualified healthcare professionals Common clinical indications: Keloids and hypertrophic scars Acne cysts or nodules Alopecia areata Psoriatic plaques Other inflammatory or proliferative skin lesions When to Use CPT 11900 CPT 11900 is appropriate when: Medication is injected directly into skin lesions Up to 7 lesions are treated in a single session The procedure is performed for therapeutic purposes The lesions are distinct and clinically documented Examples: Injecting corticosteroids into multiple keloid scars Treating inflammatory acne cysts with intralesional therapy Managing alopecia areata with localized injections Treating hypertrophic scars with targeted medication delivery Documentation Requirements To support CPT 11900 billing, documentation should include: Patient identifiers and date of service Number and location of lesions treated (7) Diagnosis supporting medical necessity Medication used, dosage, and concentration Injection technique and sites Patient response and tolerance Post-procedure instructions and follow-up Provider signature and credentials Accurate lesion count and detailed procedural documentation are essential for compliant billing
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