Dermatology Coding Alert

READER QUESTIONS:

Use Unlisted Procedure Code as Needed

Question: Should I use 15780 or 15783 for reporting micro dermabrasion?

Louisiana Subscriber

Answer: No. CPT 15780 (Dermabrasion, total face [eg, for acne scarring, fine wrinkling, rhytids, general keratosis]) is inappropriate. Also, don't fall into the trap of reporting 15783 (Dermabrasion, superficial, any site).

Micro dermabrasion is more similar to a superficial chemical peel and certainly does not involve the physician work that is valued in code 15783.

Thus, you should report 17999 (Unlisted procedure, skin, mucous membrane and subcutaneous tissue) or code A9270 (Noncovered service).

Best bet: Check with the carrier for preapproval before filing the claim.

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