How To Use CPT Code 15879

CPT code 15879 describes the suction-assisted lipectomy (liposuction) procedure performed on the lower extremity to remove fat deposits, primarily from the thigh and knee areas. 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 15879?

CPT 15879 is used to describe the suction-assisted lipectomy (liposuction) procedure performed on the lower extremity. This procedure involves the removal of fat deposits from areas such as the thighs and knees. It is typically performed to improve the contour and appearance of the lower extremities.

2. Official Description

The official description of CPT code 15879 is: ‘Suction-assisted lipectomy (liposuction), lower extremity.’

3. Procedure

The suction-assisted lipectomy procedure involves the following steps:

1. The physician makes an incision in the lower extremity.
2. A liposuction cannula, which is a tube-like instrument, is inserted through the incision.
3. The physician creates tunnels in the subcutaneous fatty tissues using the cannula.
4. A vacuum technique is used to suction out the excess fat.
5. Once the desired amount of fat has been removed, the physician closes the incision with a single suture.

4. Qualifying circumstances

CPT 15879 is typically performed on patients who have excess fat deposits in the lower extremity, specifically in the thigh and knee areas. This procedure is often done for cosmetic purposes to improve the appearance and contour of the legs. It is important to note that CPT 15879 should not be reported in conjunction with other liposuction codes for different body areas.

5. When to use CPT code 15879

CPT code 15879 should be used when a suction-assisted lipectomy procedure is performed on the lower extremity. This code specifically applies to the removal of fat deposits from the thighs and knees. It is important to ensure that the documentation supports the use of this code and that it is not reported with other liposuction codes for different body areas.

6. Documentation requirements

To support a claim for CPT 15879, the following documentation is required:

• Documentation of the patient’s excess fat deposits in the lower extremity, specifically in the thigh and knee areas
• Description of the procedure performed, including the incision, use of the liposuction cannula, creation of tunnels, suctioning of fat, and closure of the incision
• Date of the procedure
• Signature of the performing physician

7. Billing guidelines

When billing for CPT 15879, it is important to follow the following guidelines:

• Do not report CPT 15879 in conjunction with other liposuction codes for different body areas
• Do not report CPT 15879 with codes 15771, 15772, 15773, 15774, 0489T, or 0490T
• Use CPT code 15876 for neck and ear liposuction
• Use CPT code 15877 for trunk liposuction
• Use CPT code 15878 for upper extremity (arm) liposuction
• Use CPT code 15879 for lower extremity (leg) liposuction

8. Historical information

CPT code 15879 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

Here are some examples of cases where CPT code 15879 would be appropriate:

1. A patient undergoes suction-assisted lipectomy on their thighs to remove excess fat deposits and improve the contour of their legs.
2. A patient undergoes liposuction on their knees to reduce the appearance of fat bulges in that area.
3. A patient undergoes liposuction on their lower legs to achieve a more proportionate and balanced appearance.
4. A patient undergoes liposuction on their thighs and knees to address stubborn fat deposits that have not responded to diet and exercise.
5. A patient undergoes liposuction on their lower extremities to enhance the overall shape and definition of their legs.