CPT code 15879 is for suction lipectomy of the lower extremities, a procedure to remove excess fat through suction.
CPT code 15879 is used to describe the procedure of suction lipectomy of the lower extremities. This involves the surgical removal of fat deposits from areas such as the thighs or calves using a suction technique. This code is typically used by healthcare providers to document and bill for this specific type of cosmetic or reconstructive surgery.
For CPT code 15879 (Suction lipectomy lower extremity), 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.
2. Modifier 50 - Bilateral Procedure: Used when 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 59 - Distinct Procedural Service: 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 by Same Physician: Used when the same procedure is repeated by the same physician.
6. Modifier 77 - Repeat Procedure by Another Physician: Used when the same procedure is repeated by a different physician.
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: Used when a related procedure is performed during the postoperative period.
8. 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.
9. Modifier 80 - Assistant Surgeon: Used when an assistant surgeon is required during the procedure.
10. Modifier 81 - Minimum Assistant Surgeon: Used when a minimum assistant surgeon is required during the procedure.
11. 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.
12. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery: Used when these healthcare professionals assist in the surgery.
Each of these modifiers serves a specific purpose and should be used appropriately to ensure accurate billing and reimbursement.
The CPT code 15879, which pertains to suction lipectomy of the lower extremity, is subject to reimbursement considerations under Medicare. To determine if this specific CPT code is reimbursed by Medicare, one must refer to the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of services and procedures covered by Medicare, along with their respective reimbursement rates.
Additionally, it is essential to consult the guidelines and policies set forth by the Medicare Administrative Contractor (MAC) for your specific region. MACs are responsible for processing Medicare claims and can provide detailed information on coverage criteria, documentation requirements, and any potential limitations or exclusions related to CPT code 15879.
In summary, while the MPFS and MAC guidelines are the primary resources for determining the reimbursement status of CPT code 15879, it is crucial to review these sources to confirm whether Medicare will reimburse this specific procedure.
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