American Medical Association describes five Brazilian buttock lift CPT codes (BBL). Namely, CPT 15769, CPT 15771, CPT 15772, CPT 15773, and CPT 15774. Descriptions and billing guidelines for the Brazilian buttock lift CPT codes can be found below.
The CPT code for the beneficial effect of autologous fat grafting (CPT code 20926) was removed on January 1, 2020. Five new Brazilian Buttock Lift CT codes were implemented to better reflect the wide range of tissue grafts requiring varying degrees of medical involvement.
Fat grafting or fat transfer can use in body contouring procedures such as breast augmentation, buttock augmentation, facelifts, and hand rejuvenations.
The Brazilian butt lift is a standard procedure that employs modern fat transfer techniques. Another option is a composite breast augmentation that combines fat grafting and implants. It is essential in both reconstructive and cosmetic surgery.
According to recent market research, rising demand for minimally invasive aesthetic procedures propels autologous fat grafting market growth.
The primary reasons why autologous fat grafting is gaining popularity while invasive methods are losing ground are as follows:
- Cosmetic surgeries with minimally invasive techniques are in high demand.
- Recovery time reduces, and complications are less likely than with invasive surgery.
- capacity for autologous regeneration
- Modern liposuction techniques have proven effective and safe for autologous fat grafting assistance from well-known individuals.
Breast reduction surgery can use to correct the appearance of huge breasts. In addition, the procedure realigns the entire area around the nipple and areola. Male breast reduction is a standard treatment for gynecomastia (abnormal enlargement of the male breast).
Breast reduction CPT changes for 2020 include the addition of new parenthetical instructions for reporting the following codes:
- Breast tissue is removed during a gynecomastia mastectomy to reduce the size of the breasts.
- Reduction mammoplasty (CPT 19318) for non-gynecomastia breast reduction via tissue removal
When submitting claims for cosmetic surgery, it is critical to understand payer policies. Updated Complex Repair Guidelines Updated definitions for intermediate and complex wound and laceration repair are among the plastic surgery coding changes.
Description Of The Brazilian Buttock Lift CPT Codes
The following CPT codes can be used for Brazilian buttock lift. Descriptions of these codes can be found below.
CPT 15769: The 15769 CPT code is officially described by CPT’s manual as: “Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia.).
CPT 15771: The 15771 CPT code is officially described by CPT’s manual as: “Grafting of autologous fat harvested by liposuction technique to the trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate.
CPT 15772: The 15772 CPT code is officially described by CPT’s manual as: “Grafting of autologous fat harvested by liposuction technique to the trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof.
CPT 15773: The 15773 CPT code is officially described by CPT’s manual as: “Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate.”
CPT 15774: The 15774 CPT code is officially described by CPT’s manual as: “Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; each additional 25 cc injectate, or part thereof.
For buttock enhancement, cosmetic surgeons have three options. Buttock implants, on the other hand, can increase the upper and outer buttocks’ size, contour, and projection.
Fat transplantation to improve buttocks contour. Also known as a “Brazilian Butt lift” (BBL)., fat is removed from the hips and waist and injected into them during the BBL procedure to improve the appearance of the buttocks. Fat loss is not limited to the areas mentioned above.
A Brazilian Butt Lift, as opposed to conventional skin excision, improves the appearance of the buttocks’ bottoms. A butt lift, like a tummy tuck, removes excess skin and fat from the abdomen to tighten the abdominal wall and reshape the waist, hips, and thighs.
The Brazilian butt lift technique in detail
- In the target areas, tiny incisions compose for fat harvesting and reinsertion.
- Excess fat is suctioned out during liposuction using a cannula, which is a thin, hollow tube.
- The fat extracted will be reinjected.
- Sutures can use to close the incisions.
- Drainage systems will install.
- Although the full effects of the fat transfer may not be visible for up to a year, you will notice improvements immediately.
Buttock lift technique clarification.
- It is put to sleep using medications.
- A liposuction is a viable option for changing the appearance of your body.
- Temporary drains must install.
- Therapeutic Procedures Following Buttock Augmentation
- During the first stage of recovery, drains remove from the patient’s body.
- It strongly advises wearing a compression garment during the healing process.
- Keep the instructions in mind when applying pressure to the buttocks.
When the wound is small, limited to the epidermis, dermis, or subcutaneous tissues, and only a single layer of closure is required, a simple repair will use.
This category includes the use of chemical or electrical cauterization to close open wounds, as well as local anesthetics. Reputable medical billing companies have teams that keep up with these changes and can help providers file claims as accurately and quickly as possible.
Be aware of the following billing guidelines provided by CPT while billing the Brazilian buttock lift CPT Codes.
Report CPT 0232T instead of CPT 15769 for platelet-rich plasma injections. Report CPT 15771 only once per session and use add-on CPT 15772 for every additional 50 cc. CPT 15773 can be reported only once and CPT 15774 can used for every additional 25 cc.
Specific diagnoses may indicate that cosmetic services are required. Most medically beneficial services will not consider cosmetic unless they relate to a particular cosmetic diagnosis.
Only surgical, radiological, pathological, laboratory and medical services determine to be for cosmetic purposes will reject. Because the E/M service is required to review or determine medical necessity, it is reasonable to reimburse the provider for it.
While letters of support and explanation can be helpful when medical records are required, they are not sufficient evidence to prove medical necessity on their own. To establish: the following must demonstrate by using relevant medical archives:
The member is solely responsible for all costs associated with elective cosmetic procedures. The clinical policy only mentions the reference codes. The presence or absence of a code does not imply coverage.
Medical conditions may necessitate cosmetic procedures like the Brazilian butt lift procedure. Most medically helpful services will not consider cosmetics unless they relate to a specific cosmetic diagnosis.
Billing E/M services (CPT 99201 – CPT 99215) in conjunction with these conditions is not considered elective. Cosmetic procedures are the only ones that can result in a denial of surgical, radiological, pathological, laboratory, or other medical services.
Reimbursing the doctor for the E/M visit is fair because it is necessary to evaluate or decide on the patient’s level of care.
The evidence should provide that the procedure was performed or will perform to address a specific injury, illness, or adverse reaction to another treatment. Without such evidence, the operation or design must be considered purely cosmetic.
Paramount can ask for the necessary medical paperwork to prove medical necessity. Medical records are required to prove medical necessity, but letters of support and explanation can be helpful in the interim.
How To Use Modifier 59 With The Brazilian Buttock Lift CPT Codes
The 59 modifier can be reported in conjunction with the Brazilian Buttock Lift CPT codes. A Brazilian butt lift (BBL) uses your body fat to increase the size and contour of your buttocks. Because your fat is used as “filler” in a Brazilian butt lift ( BBL), the effects can last for a long time.
The Lipo 360 procedure combines with butt augmentation fat transfer. In addition, lipo 360 liposuction can improve the appearance of your entire midsection.
Putting in the effort to build a stronger posterior has benefits beyond the obvious. It is essential for maintaining your body’s health. Butt-strengthening exercises also help to reduce joint and lower back pain.
Therefore, modifier 59 should be used for the Brazilian Buttock Lift CPT codes sparingly and only when no other, more evocative modifiers are available. Modifier 59, on the other hand, should not be used when another recognized modifier is more appropriate.
You are correct in thinking that such a definition is too tricky and unsuitable for those involved in rehabilitation therapy.
The National Correct Coding Initiative, or NCCI, has labeled the activities that therapists frequently perform as “edit pairs.” You will pay if the CPT code you bill for is part of one of these pairs.
As a result, you, as the therapist, must decide whether to provide integrated care or stand-alone treatments.
As a result, whether or not modifier 59 is required for the Brazilian Buttock Lift CPT codes will be determined. Learn how to get paid for two separate procedures by adding modifier 59 to one of the CPT codes in an edit pair and informing the payer that the services will render separately in this medical procedure.
Will Medicare Reimburse Brazilian Buttock Lift?
The insurance company will not refund the medical payment for the Brazilian buttock lift CPT codes procedure. As a result, almost all Brazilians seeking a butt-lift must foot the entire bill.
Patients interested in cosmetic surgery financing can choose from various loans and payment plans. Several of these businesses accept different payment plans, allowing the client to spread out the cost of the procedure over a more manageable period.
We recommend that patients research multiple companies and financing options to find one that best meets their payment needs.
If the patient has fat and wants to reduce weight loss, the doctor recommends the surgery procedure of BBL. Fat transfer can improve specific areas of the body that have shown signs of aging or other problems by using the patient’s fat.