Summary & Overview
CPT 11950: Subcutaneous Collagen Injection, 1 cc or Less
CPT code 11950 designates the injection of 1 cc or less of collagen into the subcutaneous tissue for minor soft-tissue augmentation or contour correction. This code is used for brief, low-volume collagen injections typically performed in outpatient settings such as physician offices, ambulatory surgical centers, or minor procedure clinics. It is relevant nationally because it standardizes reporting for a commonly performed, low-complexity cosmetic and reconstructive procedure that can affect coverage determinations and claims processing.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical context and service setting for the code, followed by benchmark and coverage considerations used by major payers. The publication outlines typical billing practices, common modifiers encountered in claims, and where to look for policy updates that influence medical necessity and coverage for collagen injections.
The content is designed for coding, billing, and clinical staff who need a clear reference for CPT code 11950, providing operational clarity on service classification, expected sites of service, and the broader policy environment that shapes reimbursement and prior authorization requirements. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 11950 describes the injection of up to 1 cc of collagen into the subcutaneous tissue. The procedure involves placement of a small volume of collagen material into the subcutaneous layer to provide soft-tissue augmentation or contour correction.
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Service type: Minor soft-tissue injection / subcutaneous collagen injection
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Typical site of service: Outpatient clinic, ambulatory surgical center, or physician office for minor procedures
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult seeking cosmetic improvement of facial rhytids or contour defects with a small-volume collagen implant. The patient presents to an outpatient dermatology or plastic surgery clinic for evaluation of a localized wrinkle, depressed scar, or soft-tissue defect. After a focused history and targeted physical exam confirming a small focal defect appropriate for collagen augmentation, informed consent is obtained. The provider prepares sterile technique, selects a collagen product and syringe, and injects 1 cc or less of collagen into the subcutaneous tissue at the treatment site. Immediate post-procedure assessment confirms hemostasis and patient tolerance; brief discharge instructions are provided for wound care and signs of adverse reaction. Typical site of service is an outpatient clinic, ambulatory surgery center, or office-based procedure room. Insurance payors involved may include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Professional component | Use when reporting the physician's professional work when facility bills technical component separately. |
22 |