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CPT 11954: Injection of >10.0 cc Collagen into Subcutaneous Tissue
CPT code 11954 denotes the injection of more than 10.0 cc of collagen into the subcutaneous layer of the skin. Nationally, this code captures large-volume collagen filler procedures used in reconstructive and cosmetic soft tissue augmentation. It matters for coding accuracy, coverage determinations, and claims processing because volume-based billing can affect payment, prior authorization requirements, and medical necessity reviews.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical scope, typical sites of service (office, outpatient clinic, ambulatory surgery), and the contexts in which the CPT code is applied. The publication includes benchmarking information where available, common billing considerations, and relevant policy or coverage themes that affect reimbursement and utilization oversight.
This summary provides clinicians, coders, and billing professionals with a clear description of the service represented by CPT code 11954, the payer landscape addressed in the analysis, and the types of guidance covered: coding definition, clinical context, and payer policy implications. Data not available in the input for specific associated taxonomies, ICD-10 diagnoses, and related codes.
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Billing Code Overview
CPT code 11954 describes injection of more than 10.0 cc of collagen into the subcutaneous layer of the skin. This service is a type of soft tissue filler/injectable collagen procedure intended to augment or repair subcutaneous tissue.
Service type: Collagen subcutaneous injection (large volume)
Typical site of service: Outpatient clinic, office-based procedure, or ambulatory surgical setting
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.