Our facility has begun performing laser procedures on burn scars using both CO2 laser and pulsed dye laser (PDL). In one example, a patient who had sustained burns to 70% of total body surface area (TBSA) presented with hypertrophic and hypervascular burn scars to bilateral ears, bilateral chest, abdomen, back, buttocks, arms, hands, legs, feet. PDL was used for one pass to all affected areas to an endpoint of blanching somewhat purple. Then all of the people in the room changed glasses and donned laser masks and CO2 was used over the same areas. What is the correct CPT code(s) for this procedure.
Assign code 17999, Unlisted procedure, skin, mucous membrane and subcutaneous tissue, as there is no CPT code that accurately captures using both CO2 laser and pulsed dye laser (PDL) on burn scars. PDL laser is utilized to reduce hyperemia for vascular lesions while the ablative fractional CO2 laser is utilized for texture and pliability of the scar.
Please note, when reporting unlisted codes submission of medical record documentation may be required.