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!
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!