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    v1.0.28
    OpenPayerBilling CodesPatient HistoryCPT cpt-1160f-clinical-service-summary-not-available
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    CPT 1160F: Skin Assessment — No Summary Found

    CPT code 1160F indicates that no summary was found for the specified skin assessment entry; the code is used to denote absence of a summarized skin assessment in clinical documentation and billing workflows, typically associated with dermatologic or wound care evaluations performed in outpatient clinic or office-based settings.

    For related coverage guidance, see recent payer policy updates: Prolonged Services for Labor Management, Prolonged Services for Labor Management, Cervical Cancer Screening.

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    Table of contents

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    • Billing CodesCPT, HCPCS, DRG & more
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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is an adult referred to dermatology for evaluation and management of a suspicious skin lesion or non-healing ulcer. The clinician performs a focused history and physical, documents lesion characteristics (size, location, depth, pigmentation, induration), and discusses procedural options. For an excisional or diagnostic skin procedure billed with 1160F, the workflow includes informed consent, aseptic preparation, local anesthesia administration, lesion excision or biopsy with appropriate margins, hemostasis, and specimen submission to pathology. Post-procedure instructions and wound care are provided, and the visit is documented with site, technique, extent of excision, and any complications. Typical sites of service include an outpatient dermatology clinic, ambulatory surgical center, or office-based procedure room. Common patient scenarios include evaluation of a suspected basal cell carcinoma, squamous cell carcinoma, melanoma in situ, or removal of a benign but symptomatic lesion for diagnostic confirmation.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    11102Tangential biopsy of skin (e.g., shave), single lesionPerformed as an alternative diagnostic technique when a shave biopsy suffices instead of full excision
    11104Tangential biopsy of skin, multiple lesions, up to 14Used when multiple shave biopsies are performed during the same encounter
    11600Excision, benign lesion including margins, trunk, arms or legs; diameter 0.5 cm or lessCommonly used for benign lesion excisions; size-based codes may be selected instead of 1160F depending on documentation
    12001Repair, simple, superficial wounds of scalp, neck, axillae, external genitalia, trunk or extremities; 2.5 cm or lessUsed for layered closure or repair following excision when wound closure is required
    88305Level IV surgical pathology, gross and microscopic examinationPathology CPT typically reported by the laboratory to interpret the excised specimen and provide diagnosis
    99213Office or other outpatient visit for the evaluation and management of an established patient, moderate severityRepresents an E/M visit that may occur pre- or post-procedure when separately reportable (see modifier 25)

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    95Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…
    25CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    57CPT® modifier -57 (“Decision for Surgery”) is appended to an Evaluation and Management (E/M) service when that encounter results in the initial decision to perform a major surgery (a procedure with a…- Use modifier 57 when an E/M service provided by the same provider (or same tax ID) on the day of or the day before a major surgical procedure (90‑day global period) results in the initial decision…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207Q00000XFamily Medicine PhysicianFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
    208D00000XGeneral Practice PhysicianA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    2080P0207XPediatric Hematology & Oncology PhysicianA pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous disea…
    2080P0205XPediatric Endocrinology PhysicianA pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands…
    1744P3200XProsthetics Case ManagementA case manager who provides services for patients with prosthetics.
    163WR1000XReproductive Endocrinology/Infertility Registered NurseNursing Service Providers · Registered Nurse
    2355S0801XSpeech-Language AssistantSpeech, Language and Hearing Service Providers · Specialist/Technologist
    2085P0229XPediatric Radiology PhysicianA radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adole…

    Related Payer Policy Updates

    Specialty: Obstetrics/Gynecology1 / 3

    10 rows

    PolicyPayerEffective Date
    Prolonged Services for Labor ManagementPremera Bluecross2027-01-01
    Prolonged Services for Labor ManagementPremera Bluecross2027-01-01
    Cervical Cancer ScreeningOscar Health2026-10-01
    Prenatal Testing for Fetal AneuploidyOscar Health2026-10-01
    Prenatal Screening (Nongenetic)Oscar Health2026-10-01
    Diagnosis of VaginitisOscar Health2026-10-01
    View PDF of Maternal Serum Biomarkers for Prediction of Adverse Obstetric Outcomes, Effective 10/1/2026 in MedicalBlue Cross Blue Shield - Rhode Island2026-10-01
    Maternal Serum Testing for Prediction of Adverse Obstetric OutcomesBluecross Idaho2026-09-01
    Ultrasound in Pregnancy (including 3D, 4D and 5D Ultrasound)Cigna2026-08-15
    Abortion — Treatment of Complications and Coverage CriteriaCigna2026-08-08

    Related Codes

    CPT-1000F-CATEGORY-II-PERFORMANCE-MEASURE

    CPT 1000F: Tobacco Use Status Assessment

    CPT-1002F-NO-SUMMARY-AVAILABLE

    CPT 1002F: No Summary available

    CPT-1003F-PERFORMANCE-MEASURE

    CPT 1003F: Preventive Care Tobacco Use Counseling

    CPT-1004F-NO-SUMMARY-AVAILABLE

    CPT 1004F: Health Status Assessment

    CPT-1005F-NO-SUMMARY-AVAILABLE

    CPT 1005F: Peripheral Oxygen Saturation Assessment

    CPT-1006F-BRIEF-SUMMARY-NOT-AVAILABLE

    CPT 1006F: No Summary Available

    CPT-1007F-NO-SUMMARY-AVAILABLE

    CPT 1007F: Influenza Vaccination Administered

    CPT-1008F-UNSPECIFIED-SERVICE

    CPT 1008F: Depression Screening, Brief Standardized Assessment

    CPT-1010F-ANGINA-SEVERITY-ASSESSMENT-CAD-ACTIVITY-RESPONSE

    CPT 1010F: Angina Activity Assessment in Coronary Artery Disease

    CPT-1011F-THERAPEUTIC-MANAGEMENT-CORONARY-ARTERY-DISEASE-ANGINA

    CPT 1011F: Therapeutic Management for CAD with Angina

    Showing 1–10 of 81

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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