CPT 1052F: Specific Clinical Measure

CPT code 1052F is a CPT-listed measure with no summary provided in the source description. As a CPT code, it represents a defined clinical or reporting item used in medical billing and encounter documentation. Nationally, such CPT-listed measures matter because they standardize reporting, support quality measurement, and influence administrative workflows across payers and care settings.

Key payers in the scope of typical national analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find an overview of the code’s purpose where available, the payers commonly involved in coverage and claims processing, and the types of information typically examined for similar codes — including benchmarks, payer policy considerations, and clinical context — when full descriptions are present.

This publication provides a concise reference for clinicians, billing teams, and policy analysts on CPT code 1052F. Where the input lacks specific detail, the text indicates missing fields and points to the categories of information that stakeholders commonly review for CPT measures: clinical definition, applicable sites of service, coverage implications, and related billing guidance. Data not available in the input.

Billing Code Overview

CPT code 1052F has no published summary in the source description. Based on the code label, this entry represents a specific clinical performance or reporting measure within the CPT coding framework. Service type: Data not available in the input. Typical site of service: Data not available in the input.

Clinical Context

A typical patient is an adult presenting to an outpatient dermatology or minor procedure clinic with a small, benign skin lesion (such as a cyst, lipoma, or benign-appearing nevus) that requires excision or drainage. The patient has a focused history and exam confirming a localized lesion without systemic infection. The clinical workflow includes pre-procedure consent and site marking, local anesthesia administration, a minor surgical excision or incision and drainage performed under sterile technique, hemostasis, closure with sutures or allowed to heal by secondary intention, and post-procedure instructions provided verbally and in writing. The procedure is commonly scheduled as a same-day ambulatory visit in a clinic, ambulatory surgical center, or outpatient office setting. Typical documentation includes the indication, lesion size and location, anesthesia type and amount, technique steps, materials used (sutures, dressings), estimated blood loss, and post-procedure condition and instructions.

Coding Specifications

Modifier	Description	When to Use
`52`	Reduced Services	Use when the procedure is partially reduced or not completed as originally intended (e.g., smaller excision than planned).
`53`	Discontinued Procedure

Taxonomy Code	Specialty	Notes
207RH0000X	Dermatology	Dermatologists commonly perform minor skin excisions and related procedures.
2080P0206X	General Surgery	General surgeons perform skin and soft tissue excisions in ambulatory settings.
207L00000X	Plastic Surgery	Plastic surgeons perform excisions when reconstruction or complex closures are anticipated.
208000000X	Family Medicine	Family physicians commonly perform minor skin procedures in office settings.
261QM0800X	Emergency Medicine	Emergency physicians perform incision and drainage for acute infected lesions in the ED.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`L02.91`	Cutaneous abscess, unspecified	Indicates localized skin abscess that may require incision and drainage.
`L05.0`	Pilonidal cyst with abscess	Represents an infected cystic lesion often requiring drainage or excision.
`L98.0`	Pyoderma gangrenosum	Ulcerative skin condition that may prompt surgical consultation; excisional procedures approached cautiously.
`L91.8`	Other hypertrophic disorders of skin	May be associated with benign lesions requiring excision for symptomatic relief.
`D22.9`	Melanocytic nevus, unspecified	Benign pigmented lesion commonly excised for diagnosis or aesthetics.
`L91.0`	Hypertrophic scar	Scar revisions or excisions may be performed for symptomatic or cosmetic reasons.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`10060`	Incision and drainage of abscess; simple or single	Performed when purulent infection is present and requires drainage prior to or instead of excision.
`12001`	Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities; 2.5 cm or less	May be used for closure after excision of small skin lesions.
`12031`	Intermediate repair of wounds of face, ears, eyelids, nose, lips; 2.6 cm to 7.5 cm	Used for layered or complex closures when cosmetic repair is needed after excision.
`11400`	Excision of benign lesion including margins, trunk, arms or legs; up to 0.5 cm	Commonly reported for removal of benign skin lesions when coded by lesion size.
`11720`	Debridement of nail(s) for fungal infection; simple	Performed for nail procedures when indicated, sometimes in same clinic workflow for nail lesions.

OpenPayer

Summary & Overview