CPT code 15277 is for a skin substitute graft on the face, neck, hands, or feet for a child.
CPT code 15277 is used for the application of a skin substitute graft to the face, neck, hands, feet, or genitalia of a child. This code specifically refers to the procedure where a skin substitute is applied to these sensitive areas to aid in wound healing or to replace damaged skin.
Certainly! Below is a list of modifiers that could be used with CPT code 15277, along with the reasons for each:
1. Modifier 22 - Increased Procedural Services
- Use this modifier when the work required to perform the procedure is substantially greater than typically required. Documentation must support the substantial additional work and the reason for it.
2. Modifier 50 - Bilateral Procedure
- This modifier is used when the procedure is performed on both sides of the body during the same operative session.
3. Modifier 51 - Multiple Procedures
- Apply this modifier when multiple procedures are performed during the same surgical session. It indicates that the procedure is one of several performed.
4. Modifier 52 - Reduced Services
- Use this modifier when the procedure is partially reduced or eliminated at the physician's discretion. Documentation should support the reason for the reduction.
5. 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. It is often used to identify procedures that are not typically reported together but are appropriate under the circumstances.
6. Modifier 76 - Repeat Procedure by Same Physician
- Apply this modifier when the same procedure is repeated by the same physician subsequent to the original procedure.
7. Modifier 77 - Repeat Procedure by Another Physician
- Use this modifier when the same procedure is repeated by a different physician subsequent to the original procedure.
8. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician 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.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Apply this modifier when an unrelated procedure is performed by the same physician during the postoperative period of the initial procedure.
10. Modifier 80 - Assistant Surgeon
- Use this modifier when an assistant surgeon is required for the procedure.
11. Modifier 81 - Minimum Assistant Surgeon
- This modifier is used when a minimum assistant surgeon is required for the procedure.
12. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Apply this modifier when an assistant surgeon is required because a qualified resident surgeon is not available.
13. Modifier 99 - Multiple Modifiers
- Use this modifier when two or more modifiers are necessary to describe the service provided.
These modifiers help provide additional information about the procedure performed and ensure accurate billing and reimbursement. Always ensure that the use of any modifier is supported by appropriate documentation in the patient's medical record.
The CPT code 15277 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 and their corresponding reimbursement rates.
Additionally, reimbursement for CPT code 15277 may vary based on the policies of the Medicare Administrative Contractor (MAC) that services your geographic region. Each MAC has the authority to make determinations on coverage and payment, so it is advisable to consult with your local MAC for the most accurate and up-to-date information.
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