CPT code 17360 is a medical code used to describe skin peel therapy, a procedure for treating skin conditions through chemical peeling.
CPT code 17360 is used to describe a medical procedure known as skin peel therapy. This treatment involves the application of a chemical solution to the skin, which causes the outer layers to exfoliate and eventually peel off. The goal of skin peel therapy is to improve the appearance of the skin by reducing blemishes, scars, wrinkles, and uneven pigmentation. This procedure is often performed by dermatologists or other qualified healthcare providers to enhance skin texture and tone.
For CPT code 17360 (Skin peel therapy), the following modifiers may be applicable:
1. Modifier 25: Significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified healthcare professional on the same day of the procedure or other service. Use this modifier if an E/M service was provided in addition to the skin peel therapy.
2. Modifier 50: Bilateral procedure. Use this modifier if the skin peel therapy was performed on both sides of the body.
3. Modifier 51: Multiple procedures. Use this modifier if multiple procedures, including skin peel therapy, were performed during the same session.
4. Modifier 59: Distinct procedural service. Use this modifier to indicate that the skin peel therapy was distinct or independent from other services performed on the same day.
5. Modifier 76: Repeat procedure or service by the same physician or other qualified healthcare professional. Use this modifier if the skin peel therapy was repeated on the same day by the same provider.
6. Modifier 77: Repeat procedure by another physician or other qualified healthcare professional. Use this modifier if the skin peel therapy was repeated on the same day by a different provider.
7. Modifier 78: Unplanned return to the operating/procedure room by the same physician or other qualified healthcare professional following initial procedure for a related procedure during the postoperative period. Use this modifier if the patient required an additional skin peel therapy related to the initial procedure.
8. Modifier 79: Unrelated procedure or service by the same physician or other qualified healthcare professional during the postoperative period. Use this modifier if the skin peel therapy was unrelated to the initial procedure performed during the postoperative period.
9. Modifier 91: Repeat clinical diagnostic laboratory test. Use this modifier if the skin peel therapy involved a repeat diagnostic test.
10. Modifier 95: Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system. Use this modifier if the skin peel therapy was provided through telemedicine.
11. Modifier XE: Separate encounter. Use this modifier to indicate that the skin peel therapy was performed during a separate encounter on the same day.
12. Modifier XS: Separate structure. Use this modifier to indicate that the skin peel therapy was performed on a separate organ/structure.
13. Modifier XP: Separate practitioner. Use this modifier to indicate that the skin peel therapy was performed by a different practitioner.
14. Modifier XU: Unusual non-overlapping service. Use this modifier to indicate that the skin peel therapy does not overlap usual components of the main service.
These modifiers help provide additional information about the circumstances under which the skin peel therapy was performed, ensuring accurate billing and reimbursement.
The CPT code 17360, which pertains to skin peel therapy, is not reimbursed by Medicare. According to the Medicare Physician Fee Schedule (MPFS), this specific code is not listed as a covered service. Additionally, Medicare Administrative Contractors (MACs) do not provide reimbursement for this code, as it is generally considered a cosmetic procedure and not deemed medically necessary under Medicare guidelines. Healthcare providers should verify coverage details with their respective MAC to ensure compliance and accurate billing practices.
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