How To Use CPT Code 15789

CPT code 15789 describes the application of chemical agents in a controlled manner to remove superficial scars, sun damage, or acne. 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 15789?

CPT code 15789 is used to report the application of chemical agents to the deep dermal skin of the face. This procedure, also known as a chemical peel or facial dermal peel, is performed by a physician to improve the texture and appearance of the facial skin. It involves the use of chemical solutions such as alpha-hydroxy acids, retinoic acid, or phenol to exfoliate and rejuvenate the skin.

2. Official Description

The official description of CPT code 15789 is: ‘Chemical peel, facial dermal.’

3. Procedure

In the procedure using CPT code 15789, the physician applies a chemical solution to the subunits of the face using cotton swabs or foam applicators. The skin to be treated is first cleansed, and petroleum jelly may be applied to protect delicate areas. Local anesthetic may also be administered to minimize discomfort. The physician then carefully applies the chemical peel to the deep dermal skin of the face, using a rolling motion. The duration and requirements of the procedure determine whether the peel involves the epidermis partially or completely, and may or may not involve the dermis.

4. Qualifying circumstances

CPT code 15789 is used for patients who require a chemical peel to address superficial scars, sun damage, or acne. The procedure is typically performed by a physician and involves the application of chemical agents to the deep dermal skin of the face. It is important to note that this code specifically applies to the facial area.

5. When to use CPT code 15789

CPT code 15789 should be used when a physician performs a chemical peel on the deep dermal skin of the face. This code is appropriate for procedures that aim to improve the texture and appearance of the facial skin by removing superficial scars, sun damage, or acne. It is important to ensure that the procedure is performed on the facial area and not on other parts of the body.

6. Documentation requirements

To support a claim for CPT code 15789, the physician must document the following information:

• Patient’s diagnosis indicating the need for a chemical peel
• Specific chemical agents used during the procedure
• Date of the procedure
• Details of the procedure, including the areas of the face treated
• Any additional treatments or medications administered
• Signature of the performing physician

7. Billing guidelines

When billing for CPT code 15789, ensure that the procedure involves the application of chemical agents to the deep dermal skin of the face. It is important to accurately document the details of the procedure and any additional treatments or medications provided. CPT code 15789 should not be reported with other codes for different types of chemical peels. It is essential to review the specific documentation requirements and guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT code 15789 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates or changes to the code since its addition.

9. Similar codes to CPT 15789

There are several similar codes to CPT code 15789 that describe different types of chemical peels. These include:

• CPT 15788: Chemical peel, facial; epidermal
• CPT 15790: Chemical peel, facial; dermal
• CPT 15791: Chemical peel, facial; epidermal and dermal
• CPT 15792: Chemical peel, nonfacial; epidermal
• CPT 15793: Chemical peel, nonfacial; dermal

9. Examples

1. A physician performing a chemical peel on a patient with acne scars on their face.
2. A dermatologist applying a chemical solution to the deep dermal skin of a patient with sun damage on their face.
3. A plastic surgeon performing a chemical peel to improve the texture and appearance of a patient’s facial skin.
4. A physician addressing superficial scars on a patient’s face through a chemical peel procedure.
5. A cosmetic dermatologist using chemical agents to rejuvenate the facial skin of a patient.
6. A facial plastic surgeon performing a chemical peel to reduce the signs of aging on a patient’s face.
7. A dermatologist applying a chemical solution to the deep dermal skin of a patient with acne on their face.
8. A physician performing a chemical peel to improve the appearance of a patient’s facial skin affected by sun damage.
9. A plastic surgeon addressing superficial scars on a patient’s face through a chemical peel procedure.
10. A cosmetic dermatologist using chemical agents to treat acne scars on a patient’s face.