CPT code 17380 is a medical billing code used to describe the procedure of hair removal by electrolysis.
CPT code 17380 is used to describe the procedure of hair removal by electrolysis. This code is utilized by healthcare providers to document and bill for the service of permanently removing unwanted hair through the application of electric current. This method targets individual hair follicles, effectively destroying them to prevent future hair growth.
For CPT code 17380, "Hair removal by electrolysis," the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services
- Use this modifier if the procedure required significantly more work than typically required. This could be due to complications or other factors that increased the complexity of the service.
2. Modifier 52 - Reduced Services
- Apply this modifier if the procedure was partially reduced or eliminated at the physician's discretion. This indicates that the service provided was less than usually required.
3. Modifier 76 - Repeat Procedure by Same Physician
- Use this modifier if the same physician performs the procedure again on the same day. This indicates that the procedure was repeated for some reason.
4. Modifier 77 - Repeat Procedure by Another Physician
- Apply this modifier if a different physician repeats the procedure on the same day. This helps to clarify that the repeat procedure was necessary and performed by another provider.
5. 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 of the initial procedure.
6. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period
- Apply this modifier if the physician performs an unrelated procedure during the postoperative period of the initial procedure. This indicates that the new procedure is not related to the initial one.
7. Modifier 59 - Distinct Procedural Service
- Use this modifier to indicate that the procedure is distinct or independent from other services performed on the same day. This helps to avoid bundling issues and ensures proper reimbursement.
8. Modifier 99 - Multiple Modifiers
- Apply this modifier when two or more modifiers are necessary to describe the service provided. This helps to ensure that all aspects of the service are accurately captured.
These modifiers help to provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
The CPT code 17380, which pertains to hair removal by electrolysis, is reimbursed by Medicare under specific conditions. To determine if this service is covered, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS) for the most current reimbursement rates and guidelines.
Additionally, it is crucial to consult the local coverage determinations (LCDs) provided by the Medicare Administrative Contractor (MAC) for your region, as these can offer more detailed information on the circumstances under which CPT code 17380 is reimbursable. Coverage may vary based on medical necessity and other criteria outlined by the MAC.
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