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2025 CPT code 11952

Subcutaneous injection of a filling material (e.g., collagen); 5.1 to 10.0 cc.

Follow current CPT guidelines for reporting subcutaneous injections. Accurate documentation of the volume injected is critical for appropriate code selection.

Modifiers may be applicable depending on the circumstances of the procedure. Consult current CPT guidelines for specific modifier rules.

Medical necessity is typically established based on the patient's cosmetic concerns and the potential improvement in appearance. Documentation should support the need for the procedure.

The provider is responsible for accurately assessing the patient's needs, selecting appropriate filler material, properly administering the injection into the subcutaneous layer, and managing any potential complications. Post-injection care instructions should also be given.

IMPORTANT:Use 11950 for injections of 1 cc or less; 11951 for 1.1 cc to 5.0 cc; 11954 for more than 10 cc.

In simple words: This code covers a shot given just under the skin to fill in areas of scarring or wrinkles using a filler like collagen.The amount of filler used is between 5.1 and 10 cubic centimeters.

This CPT code encompasses the subcutaneous injection of a filling material, such as collagen, in a volume ranging from 5.1 to 10.0 cubic centimeters (cc). The injection is administered into the subcutaneous layer of the skin to fill depressions caused by scars or wrinkles.The procedure involves injecting the specified amount of filler material into the subcutaneous tissue to achieve the desired cosmetic outcome.

Example 1: A patient presents with deep acne scars on their cheeks. The provider injects 7 cc of collagen to fill the depressed areas, improving their appearance., A patient desires to reduce the appearance of fine lines around their mouth. The physician injects 6 cc of a hyaluronic acid-based filler subcutaneously to achieve the desired result., A patient has noticeable wrinkles on the forehead.The clinician injects 8 cc of a synthetic filler into the subcutaneous layer to smooth out the wrinkles.

Detailed patient history, including reason for treatment; pre-injection photographs; type and amount of filler used; injection sites documented; post-injection instructions provided; any complications noted; patient consent form.

** This code is specific to injections of 5.1 to 10.0 cc.Always verify the exact volume injected to ensure accurate coding.Consider other codes for different volumes or filler types.

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