Summary & Overview
CPT 1135F: Quality/Performance Measure
CPT code 1135F is a CPT-coded measure that reflects a discrete clinical or administrative quality/performance element. Although the source description provided no expanded summary, CPT codes in this numeric range commonly denote standardized reporting items used in clinical documentation and quality measurement. Nationally, such measures matter because they support standardized performance tracking, reimbursement alignment with quality programs, and interoperable reporting across payers and health systems.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code represents, the likely clinical and administrative contexts where it is applied, and the types of benchmarks and policy updates typically relevant for CPT performance measures. The publication outlines where this code is used in clinical workflows, typical sites of service when available, and common analytical perspectives payers apply when evaluating performance-code utilization.
This summary is intended for a national audience and provides context for clinicians, billing staff, and policy analysts seeking to understand the role of CPT code 1135F in quality reporting and administrative documentation. Data not available in the input.
Billing Code Overview
CPT code 1135F is listed without a formal summary in the source description. Based on the available label, this code represents a discrete clinical or administrative quality/performance measure within the CPT coding framework.
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Service type: Data not available in the input.
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Typical site of service: Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult presenting to a dermatology clinic with multiple actinic keratoses and small superficial non-melanoma skin cancers (basal cell carcinoma or squamous cell carcinoma in situ) on sun-exposed areas such as the face or forearms. The clinician performs cryotherapy or a focused destructive procedure to individual lesions during an outpatient visit. The workflow includes review of history and medications, focused skin exam, lesion selection and consent, local anesthesia as needed, lesion destruction (for example, cryosurgery or curettage and electrodessication for small superficial lesions), wound care instructions, and documentation of lesion size, number, and treatment provided. Follow-up is scheduled as clinically indicated to assess healing and detect recurrence or new lesions.
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 is performed and documented in addition to the procedure |
59 | Distinct procedural service | Use to indicate a separate lesion or procedure when billing multiple procedures on the same day |