How To Use CPT Code 15819

CPT code 15819 describes a procedure known as cervicoplasty, which is performed to improve the appearance of the neck by removing excess skin and fat. 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 15819?

CPT code 15819 is used to describe a surgical procedure called cervicoplasty, also known as a neck lift. This procedure is performed to enhance the appearance of the neck by removing loose skin and fat, resulting in a more taut and youthful look. Cervicoplasty is commonly performed on individuals who have sagging or slack skin in the neck area due to aging. It may also be necessary for patients with fat deposits in the neck or retrognathia, a condition where a receding jawline gives the impression of a lack of chin or jawline definition.

2. Official Description

The official description of CPT code 15819 is: ‘Cervicoplasty, trimming of excess skin.’

3. Procedure

1. After administering anesthesia, the physician begins the cervicoplasty procedure by making an incision either behind the ear or under the chin.
2. The excess skin is then carefully trimmed away to achieve the desired aesthetic outcome.
3. The incision is closed using stitches or tissue glue.

4. Qualifying circumstances

Cervicoplasty is typically performed on individuals who have loose or sagging skin in the neck area. This condition is often associated with aging, but it can also be caused by factors such as weight loss or genetics. Patients who have excess fat deposits in the neck or retrognathia may also benefit from cervicoplasty. It is important to consult with a qualified healthcare professional to determine if cervicoplasty is the appropriate procedure for a specific patient’s circumstances.

5. When to use CPT code 15819

CPT code 15819 should be used when a cervicoplasty procedure is performed to remove excess skin in the neck area. It is important to note that this code specifically refers to the trimming of excess skin and does not include other procedures that may be performed in conjunction with cervicoplasty, such as liposuction. If additional procedures are performed, separate codes should be used to accurately report the services provided.

6. Documentation requirements

To support a claim for CPT code 15819, the healthcare professional must document the following information:

• Patient’s diagnosis and the need for cervicoplasty
• Details of the procedure, including the location of the incision and the amount of excess skin removed
• Date of the procedure
• Any additional procedures performed in conjunction with cervicoplasty
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT code 15819, it is important to ensure that the procedure performed aligns with the description of cervicoplasty. This code should not be reported if other procedures, such as liposuction, are performed in addition to cervicoplasty. It is also important to follow any specific billing guidelines provided by insurance carriers or payers to ensure accurate reimbursement.

8. Historical information

CPT code 15819 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 15819

While there are no specific similar codes to CPT code 15819, there are other codes within the range of Other Repair (Closure) Procedures on the Integumentary System (15780-15879) that may be applicable for different procedures involving the integumentary system. It is important to consult the appropriate code range and documentation guidelines to accurately report the services provided.

9. Examples

1. A patient undergoes cervicoplasty to remove excess skin in the neck area, resulting in a more defined and youthful appearance.
2. An individual with sagging skin in the neck undergoes cervicoplasty to achieve a more taut and rejuvenated look.
3. A patient with retrognathia undergoes cervicoplasty to improve the definition of their jawline and chin.
4. After significant weight loss, a patient undergoes cervicoplasty to remove excess skin in the neck area and enhance their overall appearance.
5. An individual seeking a more youthful appearance undergoes cervicoplasty to address sagging skin and achieve a more defined neck contour.
6. A patient with genetic predisposition to loose skin in the neck area undergoes cervicoplasty to improve their aesthetic appearance.
7. An individual with excess fat deposits in the neck undergoes cervicoplasty to remove the fat and achieve a more sculpted neck contour.
8. A patient with signs of aging in the neck area undergoes cervicoplasty to tighten the skin and reduce the appearance of wrinkles and sagging.
9. An individual with a receding jawline undergoes cervicoplasty to enhance the definition of their chin and jawline.
10. A patient seeking a more youthful and rejuvenated appearance undergoes cervicoplasty to address loose skin and achieve a more defined neck contour.