© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 11462 involves the excision of skin and subcutaneous tissue specifically in the inguinal region, which is commonly referred to as the groin area. This surgical intervention is performed to treat hidradenitis, a chronic dermatological condition characterized by the presence of swollen, painful, and inflamed lesions that primarily affect the cutaneous apocrine glands, which are responsible for sweat production. Hidradenitis can lead to significant discomfort and may also involve the surrounding subcutaneous tissue and fascia. In cases where suppurative hidradenitis is present, patients may develop draining sinus tracts, also known as fistulas, in the affected area. Surgical treatment is generally indicated for cases of suppurative hidradenitis, where the excision involves removing the skin and subcutaneous tissue that overlies the apocrine glands, along with any exposed fistulous tracts. The extent of the excision may vary, with severe cases necessitating a more extensive removal of all affected skin and subcutaneous tissue. Following the excision, the wound is typically closed using either a simple single-layer repair or an intermediate repair, which may involve one or more deeper layers of subcutaneous tissue and superficial fascia. It is important to note that if a more complex repair is required, as indicated by CPT® Code 11463, this would involve additional techniques such as extensive undermining or the use of stents or retention sutures. In some instances, a separately reportable skin graft or flap may be necessary to adequately close the surgical wound.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 11462 is indicated for the treatment of hidradenitis in the inguinal region. The specific indications for this surgical intervention include:
The procedure for CPT® Code 11462 involves several key steps, which are detailed as follows:
Post-procedure care following the excision of skin and subcutaneous tissue for hidradenitis includes monitoring the surgical site for signs of infection, ensuring proper wound care, and managing any pain or discomfort. Patients are typically advised on how to care for the incision, including keeping the area clean and dry. Follow-up appointments may be necessary to assess healing and to determine if any further treatment is required. In cases where a more complex repair was performed, additional considerations for wound care and recovery may be necessary to ensure optimal healing.
| Short Descr | EXC SKN HDRDNT ING SMPL/NTRM | Medium Descr | EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR | Long Descr | Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 1 | CCS Clinical Classification | 170 - Excision of skin lesion |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AG | Primary physician | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2024-01-01 | Changed | Short Description changed. |
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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