CPT 1137F: Clinical Reporting/Performance Measure

CPT code 1137F is a CPT-format performance or reporting measure entry with no descriptive summary provided in the input. As a CPT code-level reporting element, it is used to capture the presence or absence of a specific clinical finding, intervention, or outcome for quality measurement and administrative reporting. These codes matter nationally because they feed quality metrics, pay-for-performance programs, and payer reporting systems that influence care management and value-based arrangements.

Key payers relevant to national reporting include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find context on the code's role in clinical reporting and quality measurement, an overview of typical sites where the code is used (administrative and clinical reporting environments), and a summary of available metadata. Specific benchmarks, modifiers, ICD-10 linkages, and related procedural codes are not available in the input and are noted as such.

This publication is intended to orient clinical managers, billing professionals, and policy analysts to the functional purpose of CPT code 1137F within reporting workflows, and to identify gaps where additional payer or coding detail is required for operational use.

Billing Code Overview

CPT code 1137F — No summary available — represents a clinical reporting or performance measure entry in the Current Procedural Terminology set. Based on the code format and available description, this entry functions as a categorical measure used for reporting clinical status or outcomes rather than a direct billable procedural service.

Service type: Reporting/measurement of clinical status or outcome
Typical site of service: Administrative or clinical reporting environments (outpatient clinics, hospital quality reporting systems, or payer reporting platforms)

Data not available in the input.

Clinical Context

A typical patient is a middle-aged adult presenting to an outpatient dermatology clinic for evaluation and management of multiple benign cutaneous lesions such as common warts or benign skin tags. The clinician documents lesion size, number, location, and prior treatments during a focused procedure visit. Local anesthesia may be used; minor surgical techniques such as cryotherapy, shave excision, curettage, or electrosurgery are performed in the office procedure room. The workflow includes pre-procedure consent and topical or local anesthetic, lesion removal with hemostasis, wound care instructions, and documentation of procedural details and estimated blood loss when applicable. Follow-up is scheduled as needed for wound check or pathology results if specimens are sent.

Coding Specifications

Modifier	Description	When to Use
`25`	Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure	Use when a distinct E/M visit is performed and documented on the same day as the procedure
`59`	Distinct procedural service	Use to indicate a procedure or service was distinct or independent from other services performed on the same day

Taxonomy Code	Specialty	Notes
`207N00000X`	Dermatology	Most common specialty performing benign skin lesion removals and office-based cutaneous procedures
`208000000X`	General Surgery	Performs excisions of skin lesions, particularly larger or suspicious lesions
`207L00000X`	Dermatopathology	Interprets pathology specimens from excised skin lesions; often not the procedure performer but related to workflow
`207V00000X`	Plastic Surgery	Performs complex excisions and closures when cosmetic or reconstructive repair is required

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`L82.0`	Seborrheic keratosis	Common benign epidermal lesion often removed for symptomatic or cosmetic reasons
`L91.8`	Other hypertrophic disorders of skin	Includes benign hyperkeratotic lesions that may be treated or removed in clinic
`B07.9`	Viral wart, unspecified	Frequent indication for cryotherapy or destructive procedures in dermatology
`D23.9`	Benign neoplasm of skin, unspecified	General diagnosis associated with excision or biopsy of benign skin lesions
`L91.0`	Hypertrophic scar	May be an indication for procedural management when symptomatic or for cosmetic concerns

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`11100`	Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), single lesion	Commonly performed for diagnostic confirmation when lesion appearance is uncertain prior to or instead of simple removal
`11400`	Excision, benign lesion including margins, trunk, arms or legs; excised diameter 0.5 cm or less	Used for excision of benign lesions where a full-thickness removal with primary closure is required
`17000`	Destruction (eg, cryotherapy) of premalignant lesions (eg, actinic keratoses); first lesion	Office-based destructive technique often used alternatively for benign lesions like warts
`12001`	Repair, simple, wound closure of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities; 2.5 cm or less	Performed when an excision requires layered closure after lesion removal
`11101`	Biopsy of skin, subcutaneous tissue and/or mucous membrane; each additional lesion (List separately in addition to code for primary procedure)	Used when multiple lesions are biopsied during the same session as the primary procedure

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Summary & Overview