Facial Plastic Surgery

lkoch829

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Hi all,

Our office is trying to preauthorize what is essentially a one-sided facelift with code 15828. Our surgeon performed three separate tumor resections of the right side which has led to a very noticeable difference in facial symmetry. The (self-funded) insurance plan will not authorize the procedure because the CPT 15828 contains "facial wrinkles or rhytids" in the description. Am I stuck here? Does anyone have any suggestions on coding or a different approach to the insurance company?

Thank you!
 

chess1457

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we are using these code too

Our office is using this code 15828 as Diode laser surgery are we using the right code?? you are having trouble with it also..:confused:
 

mbort

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Put a request in to the insurance company to have your surgeon do a peer to peer review with the medical director at the insurance company, often times this can be the key.
 
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