How To Use CPT Code 15781

CPT code 15781 describes a procedure called dermabrasion segmental, face. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 15781?

CPT code 15781 is used to describe a specific procedure known as dermabrasion segmental, face. This procedure involves the removal of acne scars, various types of facial lesions, and tattoos on a portion of the face by lightly sanding the surface of the skin with a specialized tool. The goal of dermabrasion is to smooth the skin and reveal a new, healthy layer underneath.

2. Official Description

The official description of CPT code 15781 is: ‘Dermabrasion segmental, face.’

3. Procedure

During the dermabrasion segmental, face procedure, the healthcare provider first preps and anesthetizes the patient. The provider then holds the skin taught and uses a dermabrader tool with removable tips to gently scrape the upper layer of the skin. Different tips of various sizes, shapes, and surfaces are used to achieve the desired level of abrasion. This may include a sander, wire brush, or diamond wheel. In areas where scarring has caused pits, the provider will focus on abrading the surface around the depression. In some cases, manual abrasion with sandpaper may be used.

4. Qualifying circumstances

Dermabrasion segmental, face is typically considered a cosmetic treatment. However, in certain cases, it may be medically necessary. For example, if the patient has superficial basal cell carcinoma, a type of skin cancer, or precancerous actinic keratoses, which are abnormal skin growths due to excessive sun exposure, dermabrasion may be performed. Prior authorization from the patient’s payer may be required in these cases.

5. When to use CPT code 15781

CPT code 15781 should be used when performing dermabrasion segmental, face. It is important to note that this code is specific to the face and should not be used for dermabrasion procedures on other parts of the body.

6. Documentation requirements

To support a claim for CPT code 15781, the healthcare provider must document the following information:

• Patient’s diagnosis or indication for the procedure
• Details of the dermabrasion procedure performed, including the specific areas of the face treated
• Tools and techniques used during the procedure
• Any complications or adverse reactions
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 15781, it is important to ensure that the procedure performed matches the description of dermabrasion segmental, face. This code should not be reported with other codes unless there are additional procedures performed that are distinct and separate from the dermabrasion. It is also important to check with the patient’s payer for any specific billing guidelines or requirements.

8. Historical information

CPT code 15781 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Similar codes to CPT 15781

There are several similar codes to CPT code 15781 that describe other repair (closure) procedures on the integumentary system. These codes range from 15780 to 15879 and cover various procedures such as scar revision, skin grafting, and tissue rearrangement. It is important to review the specific descriptions of these codes to determine the most appropriate code for the procedure performed.

9. Examples

1. A patient undergoes dermabrasion segmental, face to remove acne scars on their cheeks.
2. A healthcare provider performs dermabrasion segmental, face to treat a facial lesion on the patient’s forehead.
3. A patient receives dermabrasion segmental, face to remove a tattoo on their chin.
4. A healthcare provider performs dermabrasion segmental, face to smooth out facial scars caused by previous surgeries.
5. A patient undergoes dermabrasion segmental, face to improve the appearance of fine lines and wrinkles on their cheeks.
6. A healthcare provider performs dermabrasion segmental, face to treat hyperpigmentation on the patient’s nose.
7. A patient receives dermabrasion segmental, face to remove a birthmark on their forehead.
8. A healthcare provider performs dermabrasion segmental, face to treat a facial scar caused by a traumatic injury.
9. A patient undergoes dermabrasion segmental, face to improve the appearance of stretch marks on their cheeks.
10. A healthcare provider performs dermabrasion segmental, face to remove a skin lesion on the patient’s chin.