CPT code 15811 is for salabrasion, a medical procedure used to remove the top layers of skin, often for treating scars or tattoos.
CPT code 15811 is used to describe the medical procedure known as salabrasion. Salabrasion is a technique employed to remove tattoos or other skin markings. During this procedure, a salt solution is applied to the skin, and then the area is abraded or scrubbed to remove the top layers of skin where the pigment resides. This method is typically performed by a healthcare professional in a controlled setting to ensure safety and effectiveness.
When using CPT code 15811 for Salabrasion, the following modifiers may be applicable depending on the specific circumstances of the procedure:
1. Modifier 22 - Increased Procedural Services
- Use this modifier if the procedure required significantly greater effort than typically required.
2. Modifier 50 - Bilateral Procedure
- Apply this modifier if the procedure was performed on both sides of the body.
3. Modifier 51 - Multiple Procedures
- Use this modifier when multiple procedures are performed during the same session.
4. Modifier 59 - Distinct Procedural Service
- This modifier is used to indicate that the procedure is distinct or independent from other services performed on the same day.
5. Modifier 76 - Repeat Procedure by Same Physician
- Use this modifier if the same procedure is repeated by the same physician on the same day.
6. Modifier 77 - Repeat Procedure by Another Physician
- Apply this modifier if the procedure is repeated by a different physician on the same day.
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
- Use this modifier if the patient needs to 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
- This modifier is used when an unrelated procedure is performed by the same physician during the postoperative period.
9. Modifier 80 - Assistant Surgeon
- Apply this modifier if an assistant surgeon was necessary for the procedure.
10. Modifier 81 - Minimum Assistant Surgeon
- Use this modifier if a minimum assistant surgeon was required.
11. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- This modifier is used when an assistant surgeon is necessary because a qualified resident surgeon is not available.
12. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery
- Apply this modifier if a PA, NP, or CNS provided assistance during the surgery.
Each of these modifiers serves a specific purpose and should be used accurately to ensure proper billing and reimbursement.
CPT code 15811 is reimbursed by Medicare, but it is essential to verify the specific details through the Medicare Physician Fee Schedule (MPFS) and consult with your regional Medicare Administrative Contractor (MAC).
The MPFS provides the reimbursement rates and guidelines for services covered by Medicare, while the MAC can offer region-specific information and any additional requirements or limitations that may apply.
Always ensure to check the latest updates and guidelines to confirm the reimbursement status for CPT code 15811.
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