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Dermabrasion and Rhinophyma Surgery

Nicole Posted Wed 13th of February, 2019 10:35:25 AM
Can a dermatologist bill separately for Dermabrasion (CPT 15783) when they have rhinophyma surgery (CPT 30120) or is the Dermabrasion included in CPT 30120? If it is included do any providers charge a patient for the dermabrasion as a cosmetic procedure after for better results? If so, do you have the patient sign an ABN?
SuperCoder Answered Thu 14th of February, 2019 06:58:50 AM

Hi,

As per the clinical responsibility of CPT 30120, the provider excises the hypertrophic lesion in a tangential manner, preserving the sebaceous tissue allowing for spontaneous reepithelialization and complete healing. He may use techniques like the YAG laser in which he excises the lesion with minimal bleeding. Other surgical techniques that he may use are dermabrasion, cryotherapy, or electrocautery.  He may perform a total eradication of the lesion, which involves procedures that are deeper, and can go down to the bone and nasal cartilage.

Dermabrasion technique is inclusive if provider performs rhinophyma surgery.

Most payers consider dermabrasion procedures cosmetic and do not reimburse these services. Make sure that you check coverage and inform the patient if the service is not a covered service if you are performing dermabrasion. Additionally, it is recommended that you collect your fees up front from the patient before performing dermabrasion services.

If you feel the dermabrasion is medically necessary, then you should get prior authorization from your patient’s payer.

All dermabrasions and microdermabrasions are considered self-pay and are paid at the time of service. Therefore, if you’re going to bill an insurance carrier for it, you need to get prior authorization.

 

Please check the below link for further clarification.

https://www.supercoder.com/coding-newsletters/my-dermatology-coding-alert/dermabrasion-smooth-out-the-wrinkles-in-your-dermabrasion-coding-149846-article

 

Thanks

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