2025 CPT code 11008
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Integumentary System Surgery Feed
Removal of prosthetic material or mesh from the abdominal wall due to infection.
Modifiers may be necessary depending on the circumstances of the procedure.For example, modifier 59 (distinct procedural service) might be appropriate if the removal of the prosthetic material is distinct from the debridement or incision and drainage.
The removal of infected prosthetic material or mesh is medically necessary when the infection cannot be controlled by other means.The procedure is aimed at removing the source of the infection and promoting healing.Documentation must support the presence of infection and the medical necessity of the removal procedure.
The surgeon's responsibility includes prepping the patient, making the incision, dissecting the tissue to expose the prosthetic material, removing the infected material and necrotic tissue, irrigating the area, and closing the wound with sutures. This procedure is done in addition to debridement or incision and drainage.
In simple words: The doctor removes infected mesh or artificial materials from the abdomen to treat an infection. This is done during the same visit as other procedures to clean or drain the infection.
This CPT code describes the surgical removal of prosthetic materials or mesh from the abdominal wall in cases of infection, such as necrotizing tissue infection or recurrent mesh infection.The procedure involves incising the abdominal skin, dissecting the tissue to expose the prosthetic material, and carefully removing the infected material and necrotic tissue.The surgeon may leave some non-infected tissue in place. The wound is then irrigated and closed with sutures. This code is reported in addition to the primary procedure code for debridement (10180) or incision and drainage (11004-11006).
Example 1: A patient presents with a recurrent mesh infection following abdominal hernia repair.The surgeon removes the infected mesh and performs debridement of the surrounding necrotic tissue.Codes 11008 and the appropriate debridement code are reported., A patient develops a necrotizing soft tissue infection at the site of an abdominal wall prosthesis. The surgeon removes the infected prosthesis, performs debridement, and leaves some non-infected tissue in place for healing. Codes 11008 and the appropriate debridement code are reported., Following abdominal surgery, a patient has a persistent infection at the incision site with evidence of infected prosthetic mesh. The surgeon performs an incision and drainage procedure, removes the infected mesh, and then performs debridement of necrotic tissue.Codes 11008, 11004-11006 (depending on the specific incision and drainage procedure performed) and the appropriate debridement code are reported.
Detailed operative report describing the type of prosthetic material or mesh removed, extent of infection, the amount of necrotic tissue debrided, irrigation technique, and wound closure method.Preoperative and postoperative images may also be beneficial.The report should also clearly document the primary procedure (debridement or incision and drainage) for which this code is an add-on.
** Always refer to the most current CPT codebook and NCCI edits for the most accurate information and coding guidelines.Pay close attention to documentation requirements to ensure appropriate reimbursement.
- Revenue Code: P6A (Minor Procedures - Skin)
- RVU: Information not available in provided text.Consult the CMS relative value units database for the most current information.
- Global Days: Information not available in the provided text.The global period would be determined by the primary procedure's global period.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier would not typically apply to this code, as it is an add-on code used in conjunction with a primary procedure.
- Fee Schedule: Information not available in the provided text.Consult fee schedules from relevant payers for historical data.
- Specialties:General Surgery, Plastic Surgery
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center