Summary & Overview
CPT 1003F: Clinical Performance Measure (No Summary Provided)
CPT code 1003F is a CPT-listed code with no summary provided in the source input. As a CPT code, it represents a standardized element in clinical reporting or billing that is used across payers to identify a specific procedure or clinical measure. Nationwide, clear definitions for CPT codes matter for consistent claims processing, quality measurement, and administrative reporting.
Key payers included in this overview are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a national-level framing of why a complete code definition matters, what typical stakeholders (commercial insurers and Medicare) consider when reviewing claims, and where missing descriptive data limits interpretation. The publication outlines expected content for benchmarking and policy review, notes that specific service type and site-of-service details are not available in the input, and identifies areas where further specification is required for operational use.
This summary equips billing managers, revenue cycle staff, and policy analysts with a concise understanding that CPT code 1003F lacks a provided narrative, highlights the importance of acquiring the official CPT descriptor for coding accuracy, and indicates the types of benchmarks and policy updates readers should seek to fully contextualize the code for clinical and administrative use.
Billing Code Overview
CPT code 1003F is listed without a summary in the source description. Based on the available description label, this code represents a clinical measure or performance-related entry in the CPT family. Service type: Data not available in the input.
Typical site of service: Data not available in the input.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical adult patient presents to an outpatient dermatology or minor procedure clinic with one or more small, benign-appearing skin lesions (e.g., skin tags, small benign nevi, or superficial epidermal cysts) that require simple removal for symptomatic relief or cosmetic reasons. After a focused history and examination, the clinician determines that a simple, office-based procedure under local anesthesia is appropriate. The workflow includes informed consent, preparation of the site with antiseptic, local infiltration of anesthetic, lesion excision or removal using snip or shave technique, control of bleeding, application of a simple dressing, and post-procedure instructions. The procedure is performed in a procedure room or clinic exam room and documented in the medical record with lesion size, technique, anesthesia used, and follow-up plan. Common payors for claims submission include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the day of a procedure | Use when a distinct E/M visit is provided in addition to the procedure and separately documented |
59 | Distinct procedural service | Use when multiple procedures are performed at the same session and are not typically reported together |
26 | Professional component | Use when reporting only the professional component of a split service (applicable if interpretation component exists) |
TC | Technical component | Use when reporting only the technical component of a service |
50 | Bilateral procedure | Use when the same procedure is performed on both sides during the same encounter (if applicable) |
51 | Multiple procedures | Use when more than one different procedure is performed during the same session (if applicable and not reduced by bundling rules) |
22 | Increased procedural services | Use when work required to perform the procedure substantially exceeds usual work and documentation supports it |
52 | Reduced services | Use when a service is partially reduced or not completed as described by the code |
76 | Repeat procedure by same physician | Use when a procedure is repeated subsequent to the original within the postoperative period |
77 | Repeat procedure by another physician | Use when a different physician repeats the procedure within the postoperative period |
GA | Waiver of liability statement on file | Use when a voluntary payer-specific waiver is on file for an item or service |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
207L00000X | Dermatology | Dermatologists commonly perform in-office removal of benign skin lesions |
207P00000X | Pediatric Dermatology | Pediatric dermatologists perform similar minor skin procedures in children |
207LH0000X | Mohs and Dermatologic Surgery | Specialists performing excisions that may require simple office-based techniques |
207N00000X | Plastic Surgery | Plastic surgeons perform excisions for cosmetic or reconstructive indications |
208000000X | Family Medicine | Family physicians perform minor skin lesion removals in outpatient settings |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
L91.8 | Other hypertrophic disorders of skin | May be used for hypertrophic scars or similar benign growths considered for removal |
L98.9 | Disorder of skin and subcutaneous tissue, unspecified | General code for non-specific benign skin lesions when more specific code is unavailable |
D22.9 | Melanocytic nevi, unspecified | Common benign nevus that may be removed for cosmetic or symptomatic reasons |
L91.0 | Hypertrophic scar | Relevant when scar revision or removal is performed |
L57.0 | Actinic keratosis | Superficial premalignant lesion often treated or removed in clinic settings |
L84 | Corns and callosities | Common benign lesions on feet that may require simple removal |
R22.2 | Localized swelling, mass and lump, trunk | Used when a localized subcutaneous mass is the indication for excision |
K60.4 | Fissure and fistula of anus, unspecified | Data not directly related; included for completeness only |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
11102 | Tangential biopsy of skin (e.g., shave, scoop), single lesion | A tangential shave biopsy may be performed when a lesion requires diagnostic sampling rather than complete removal |
12001 | Simple repair of superficial wounds of scalp, neck, axillae, external genitalia; 2.5 cm or less | Simple closure codes apply when primary closure is performed after lesion excision |
11400 | Excision, benign lesion including margins, trunk, arms, legs; lesion diameter 0.5 cm or less | Excision codes represent complete removal of benign lesions when pathology is submitted |
10120 | Incision and drainage of hematoma; simple | May be used for minor post-procedure hematoma evacuation if needed |
99024 | Postoperative follow-up visit, global period, related to recovery | Used for routine post-op follow-up during the global period of a minor procedure |