CPT code 15877 is for the suction lipectomy of the trunk, a procedure to remove excess fat from the trunk area using suction.
CPT code 15877 is a medical billing code used to describe the procedure of suction lipectomy of the trunk. This involves the surgical removal of fat deposits from the trunk area, which includes the abdomen, flanks, and back, using a suction technique. This code is used by healthcare providers to document and bill for this specific type of liposuction procedure.
For CPT code 15877 (Suction lipectomy trunk), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services
- Used when the work required to perform the procedure is substantially greater than typically required.
2. Modifier 50 - Bilateral Procedure
- Used if the procedure is performed on both sides of the body.
3. Modifier 51 - Multiple Procedures
- Used when multiple procedures are performed during the same surgical session.
4. Modifier 52 - Reduced Services
- Used when a service or procedure is partially reduced or eliminated at the physician's discretion.
5. Modifier 59 - Distinct Procedural Service
- Used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
6. Modifier 76 - Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional
- Used when the procedure is repeated by the same physician.
7. Modifier 77 - Repeat Procedure by Another Physician or Other Qualified Health Care Professional
- Used when the procedure is repeated by a different physician.
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
- Used when the patient returns to the operating room for a related procedure during the postoperative period.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Used when an unrelated procedure is performed by the same physician during the postoperative period.
10. Modifier 80 - Assistant Surgeon
- Used when an assistant surgeon is required for the procedure.
11. Modifier 81 - Minimum Assistant Surgeon
- Used when a minimum assistant surgeon is required for the procedure.
12. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available)
- Used when an assistant surgeon is required and a qualified resident surgeon is not available.
13. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery
- Used when a physician assistant, nurse practitioner, or clinical nurse specialist assists in the surgery.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
CPT code 15877, which pertains to suction lipectomy of the trunk, is generally not reimbursed by Medicare. According to the Medicare Physician Fee Schedule (MPFS), this procedure is often considered cosmetic and, therefore, not medically necessary. Consequently, it falls outside the scope of services typically covered by Medicare. However, it is essential to consult with your specific Medicare Administrative Contractor (MAC) for any potential exceptions or specific coverage criteria that might apply in unique clinical circumstances.
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