How To Use CPT Code 15788

CPT code 15788 describes the application of chemical agents in a controlled manner to remove superficial scars, sun damage, or acne from the facial epidermis. 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 15788?

CPT code 15788 is used to report a chemical peel procedure performed on the facial epidermis. During this procedure, a physician applies chemical agents, such as alpha-hydroxy acids or trichloroacetic acid, to improve the texture and reduce fine lines on the surface of the skin. It is a minimally invasive treatment option for addressing sun damage, acne, or rosacea.

2. Official Description

The official description of CPT code 15788 is: ‘Chemical peel, facial epidermal.’

3. Procedure

The chemical peel procedure involves several steps:

1. The physician cleanses the outer layer of the face with a cleanser solution.
2. To protect delicate areas, the physician may apply petroleum jelly.
3. Local anesthetic may be administered to minimize discomfort.
4. The physician carefully applies the chemical solution, such as salicylic acid or trichloroacetic acid, to the distinct part of the face using cotton swabs or foam applicators.
5. The chemical solution is left on the skin for a specific duration, depending on the desired outcome and requirements of the procedure.
6. After the appropriate time has elapsed, the physician neutralizes the chemical solution and removes it from the skin.

4. Qualifying circumstances

CPT code 15788 is used when the physician applies chemical agents to the superficial epidermal skin of the face to reduce fine lines and improve the texture. It does not involve the dermis or deeper layers of the skin. This procedure is typically performed to address superficial scars, sun damage, or acne on the facial skin.

5. When to use CPT code 15788

CPT code 15788 should be used when a physician performs a chemical peel procedure on the facial epidermis to improve the texture and reduce fine lines caused by sun damage, acne, or rosacea. It should not be reported for procedures that involve the dermis or deeper layers of the skin.

6. Documentation requirements

To support a claim for CPT code 15788, the physician must document the following information:

• Patient’s diagnosis or indication for the chemical peel procedure
• Specific chemical agents used during the procedure
• Date of the procedure
• Details of the procedure, including the duration of application and any additional steps taken
• Any complications or adverse reactions observed
• Signature of the performing physician

7. Billing guidelines

When billing for CPT code 15788, ensure that the procedure involves the application of chemical agents to the facial epidermis. It should not be reported if the procedure involves the dermis or deeper layers of the skin. There are no specific guidelines regarding reporting CPT code 15788 with other codes.

8. Historical information

CPT code 15788 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates to the code since its addition.

9. Similar codes to CPT 15788

There are several similar codes to CPT code 15788 that describe different types of chemical peels. These include:

• CPT 15789: Chemical peel, facial; epidermal and dermal
• CPT 15790: Chemical peel, facial; epidermal, dermal, and subcutaneous
• CPT 15791: Chemical peel, facial; epidermal, dermal, subcutaneous, and periorbital
• CPT 15792: Chemical peel, nonfacial; epidermal
• CPT 15793: Chemical peel, nonfacial; epidermal and dermal

9. Examples

1. A physician performing a chemical peel on a patient’s facial epidermis to reduce fine lines caused by sun damage.
2. A dermatologist applying a chemical solution to a patient’s facial skin to address acne scars.
3. A plastic surgeon performing a chemical peel procedure on a patient’s facial epidermis to improve the texture and reduce signs of aging.
4. An aesthetician administering a chemical peel treatment to a patient’s facial skin to minimize the appearance of sunspots.
5. A dermatologist using chemical agents to treat rosacea on a patient’s facial epidermis.
6. A physician performing a chemical peel procedure on a patient’s facial skin to address hyperpigmentation.
7. An aesthetician applying a chemical solution to a patient’s facial epidermis to improve skin tone and texture.
8. A plastic surgeon performing a chemical peel on a patient’s facial skin to reduce the appearance of fine lines and wrinkles.
9. A dermatologist using chemical agents to treat acne on a patient’s facial epidermis.
10. An aesthetician administering a chemical peel treatment to a patient’s facial skin to enhance overall skin appearance.