Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Plastic Surgery
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 11-25-2009, 05:57 AM
BFAITHFUL BFAITHFUL is offline
Expert
 
Join Date: Apr 2007
Posts: 430
BFAITHFUL is on a distinguished road
Default cpt 20926

the doctor wants to bill cpt 20926 & describes as the following,

the hematoma and deformity of the right cheek was addressed first obtaining 10cc of fat through a stab wound. The fat was carefully decanted and the dermal fat cells were obtained. These were immediately injected through multiple stab wounds into the deformity using an 18-gauge needle.

Is this correct? I've never billed for this code before & don't know if this documentation is enough to support coding this.
Reply With Quote
  #2  
Old 11-25-2009, 02:14 PM
coderguy1939 coderguy1939 is offline
True Blue
 
Join Date: Apr 2007
Posts: 605
coderguy1939 is on a distinguished road
Default

20926 is the harvesting of the fat graft. The harvesting should be from a separate site and documented as such in the op note.

Except for the incisions in the skin, the injections of the fat sound like the 11950-11954 codes which lay descriptions include injections of autologous fat as a dermal filler.

Don't know if that will get you there.

Last edited by coderguy1939; 11-25-2009 at 02:17 PM.
Reply With Quote
  #3  
Old 11-27-2009, 07:32 AM
BFAITHFUL BFAITHFUL is offline
Expert
 
Join Date: Apr 2007
Posts: 430
BFAITHFUL is on a distinguished road
Default

thank you
Reply With Quote
  #4  
Old 12-01-2009, 03:54 PM
tinaboe tinaboe is offline
New
 
Join Date: Apr 2007
Location: Baltimore East
Posts: 7
tinaboe is on a distinguished road
Default tinaboe

Hello,

Actually, according to the ASPS it is appropriate to use the code 20926 for fat grafting procedures. This code includes harvest of the fat graft material by any method, closure of the donor site, processing of fat graft material, injection of fat graft into recipeint site. They also state that the codes 11950 - 11954 are not to be used for this procedure as they belie the extent of these procedures. These codes are used for off the shelf products such as collagen.
Reply With Quote
  #5  
Old 12-27-2012, 10:16 AM
snoprean snoprean is offline
New
 
Join Date: Apr 2007
Posts: 6
snoprean is on a distinguished road
Default ASPS Documentation

Can you direct me to the documentation that states 20926 is the correct CPT to use when billing for fat graft procedures?
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 10:05 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC