CPT code 14300 is a medical code used for billing skin tissue rearrangement procedures.
CPT code 14300 is used to describe a surgical procedure involving the rearrangement of skin tissue. This code is typically applied when a surgeon needs to move or reposition skin to cover a defect or wound, often resulting from trauma, surgery, or other medical conditions. The procedure aims to improve both the function and appearance of the affected area, ensuring better healing and cosmetic outcomes.
For CPT code 14300, which pertains to skin tissue rearrangement, the following modifiers may be applicable:
1. Modifier 22 (Increased Procedural Services): Used when the work required to provide a service is substantially greater than typically required. This could be due to complications or other factors that increase the complexity of the procedure.
2. Modifier 51 (Multiple Procedures): Applied when multiple procedures are performed during the same surgical session. This modifier indicates that the procedure is one of several performed.
3. Modifier 58 (Staged or Related Procedure or Service by the Same Physician During the Postoperative Period): Used if the procedure is planned or staged, or if it is more extensive than the original procedure.
4. Modifier 59 (Distinct Procedural Service): Indicates that the procedure is distinct or independent from other services performed on the same day. This is used to avoid bundling issues.
5. Modifier 76 (Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional): Applied when the same procedure is repeated by the same provider.
6. Modifier 77 (Repeat Procedure by Another Physician or Other Qualified Health Care Professional): Used when the same procedure is repeated by a different provider.
7. Modifier 78 (Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period): Indicates an unplanned return to the operating room for a related procedure during the postoperative period.
8. Modifier 79 (Unrelated Procedure or Service by the Same Physician During the Postoperative Period): Used when a procedure is performed during the postoperative period of another procedure, but is unrelated to the original procedure.
9. Modifier 80 (Assistant Surgeon): Applied when an assistant surgeon is required for the procedure.
10. Modifier 81 (Minimum Assistant Surgeon): Used when a minimum assistant surgeon is required for the procedure.
11. Modifier 82 (Assistant Surgeon (when qualified resident surgeon not available)): Indicates that an assistant surgeon was necessary because a qualified resident was not available.
12. Modifier AS (Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery): Used when a non-physician provider assists in the surgery.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 14300 is reimbursed by Medicare, but it is essential to verify the specific reimbursement details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides the payment rates for services covered by Medicare, including the CPT code 14300. Additionally, reimbursement can vary based on the region, as Medicare Administrative Contractors (MACs) may have localized policies and rates. Therefore, healthcare providers should consult their respective MAC for precise information on the reimbursement rates and any specific guidelines related to CPT code 14300.
Discover how MD Clarity's RevFind software can meticulously read your contracts and detect underpayments down to the CPT code level and by individual payer. Ensure you're receiving accurate reimbursements for procedures like CPT code 14300. Schedule a demo today to see how RevFind can optimize your revenue cycle management.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
