You don’t choose the code based on the donor site.
Site: When you read the descriptors, remember that the body parts listed, such as “trunk, breasts, scalp, arms, and/or legs” in 15771, are the recipient sites. Black Friday Blog: 2 for 1 With 2019 HCPCS and CPT® News in 1 Post! The guidelines state that for 15769 to apply, the grafts are placed into a defect during the same operation as the harvesting of the grafts. I am not certain they could be separately billed for AFG in a medically-necessary breast reconstruction rather than in a cosmetic procedure. 1 0 obj
The four remaining new codes, 15771 to +15774, apply to autologous fat grafting harvested using liposuction. endobj <>/Pattern<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 9 0 R 12 0 R 13 0 R 14 0 R 15 0 R 17 0 R 19 0 R 20 0 R 22 0 R 28 0 R 35 0 R 36 0 R 39 0 R 40 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> CPT says the following about 15750: “This code includes not only skin, but also a functional motor or sensory nerve(s). Since joining TCI in 2004, she’s covered the ins and outs of coding for radiology, cardiology, oncology and hematology, orthopedics, audiology, and more. %���� %PDF-1.5 <>>> Fat: Face, Eyelids, Mouth, Neck, Ears, Orbits, Genitalia, Hands, Feet.
A good medical dictionary will explain that adipose cells are fat cells, a cannula is a sort of tube used in medical procedures, and an aliquot is a portion. Thanks so much! <> You know from the descriptor that 15769 represents autologous soft tissue grafts harvested by direct excision. “For multiple sites of injection, sum the total volume of injectate to anatomic sites that are grouped together into the same code descriptor,” the CPT® guidelines state. The word “total” is important here. stream The October 2019 CPT® Assistant also helps you translate the guidelines by explaining that preparation for 15771 to +15774 typically involves gently centrifuging the “lipoaspirate” to separate fat from blood and oils. In the CPT® 2019 code set, you look in the musculoskeletal system codes for 20926 (Tissue grafts, other (eg, paratenon, fat, dermis)). Autologous means the grafts are obtained from the same individual who then receives the grafts. Be ready with these helpful pointers. 2 0 obj Get Weekly Email on Latest Healthcare Updates, Translate CPT® 2020 Tissue Grafting Code Descriptors for Accurate Claims, COVID-19 Coding Q&A: CPT®, HCPCS, and ICD-10-CM News for Coronavirus Coding, 7 Top Tips for Mastering ICD-10-CM 7th Characters. Other Soft Tissue. Don’t Let These Deleted CPT® Codes Sink Your 2019 Claims.