CPT code 11922 is used for reporting the injection of a skin color agent for each 20.0 cm area to correct skin color.
CPT code 11922 is used for the procedure of tattooing, specifically for correcting skin color. This code applies when the area being treated is up to 20.0 square centimeters. This procedure is often utilized in medical settings to address skin color irregularities due to conditions such as vitiligo, scars, or other skin discolorations.
For CPT code 11922, the following modifiers may be applicable:
1. Modifier 25: Significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified healthcare professional on the same day of the procedure or other service. This modifier is used when an E/M service is provided on the same day as the procedure and is distinct from the procedure itself.
2. Modifier 50: Bilateral procedure. This modifier is used if the procedure is performed on both sides of the body.
3. Modifier 51: Multiple procedures. This modifier is used when multiple procedures are performed during the same session by the same provider.
4. Modifier 59: Distinct procedural service. This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
5. Modifier 76: Repeat procedure or service by the same physician or other qualified healthcare professional. This modifier is used when the same procedure is repeated on the same day by the same provider.
6. Modifier 77: Repeat procedure by another physician or other qualified healthcare professional. This modifier is used when the same procedure is repeated on the same day by a different provider.
7. Modifier 78: Unplanned return to the operating/procedure room by the same physician or other qualified healthcare professional following initial procedure for a related procedure during the postoperative period. This modifier is used when a related procedure is performed during the postoperative period of the initial procedure.
8. Modifier 79: Unrelated procedure or service by the same physician or other qualified healthcare professional during the postoperative period. This modifier is used when an unrelated procedure is performed during the postoperative period of the initial procedure.
9. Modifier 91: Repeat clinical diagnostic laboratory test. This modifier is used when the same laboratory test is repeated on the same day to obtain subsequent (multiple) test results.
10. Modifier LT: Left side. This modifier is used to indicate that the procedure was performed on the left side of the body.
11. Modifier RT: Right side. This modifier is used to indicate that the procedure was performed on the right side of the body.
Each of these modifiers serves a specific purpose and should be used appropriately to ensure accurate billing and reimbursement.
The CPT code 11922 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services covered by Medicare, including their respective reimbursement rates.
Additionally, it is crucial to consult with your local Medicare Administrative Contractor (MAC) to confirm any regional variations or specific guidelines that may affect the reimbursement of CPT code 11922. Each MAC may have unique policies or requirements that could influence the reimbursement process.
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