I need some help coding for the following proposed procedure. Below is the procedure my provider is going to perform and she wants 15832 and 15879 coded (all work to be done on the thighs). The codes do not bundle, but I don't believe it is correct to bill both for the same area. Any help would be greatly appreciated.
The patient's persistent deformity and weight will be best addressed with liposuction. She would need liposuction especially of the posterior thighs where she has most of the localized dependent, heavy, subcutaneous tissue. This can the be extended medially. At that time we might be able to excise a wedge of skin medially where she has the redundant skin. The procedure will take approximately four hours. We will start with the patient prone and then turn her supine. The appearance of the skin may be worse after surgery. We are not going to be able to make "thin thighs." The procedure will debulk the excess skin and as such will remove the dependency of the skin and weight. She may need future procedures in order to address any excess skin or redundant skin as a result that we may not be able to correct. Photographs were taken.
The patient's persistent deformity and weight will be best addressed with liposuction. She would need liposuction especially of the posterior thighs where she has most of the localized dependent, heavy, subcutaneous tissue. This can the be extended medially. At that time we might be able to excise a wedge of skin medially where she has the redundant skin. The procedure will take approximately four hours. We will start with the patient prone and then turn her supine. The appearance of the skin may be worse after surgery. We are not going to be able to make "thin thighs." The procedure will debulk the excess skin and as such will remove the dependency of the skin and weight. She may need future procedures in order to address any excess skin or redundant skin as a result that we may not be able to correct. Photographs were taken.