tci General Surgery Coding Alert - 2022 Issue Q2

Reader Questions: Master Post-Bariatric Skin Removal Coding

Question: Our surgeon performed a procedure for a patient who had lost considerable weight following bariatric surgery. The patient suffered recurring rashes, sores and infection due to rubbing skin folds. The surgery involved removing skin and fat, performing intermediate and complex closure and plication of the facia to relieve tension, plus repositioning the umbilicus. How should we code this? Louisiana Subscriber Answer: The procedure you describe is a panniculectomy, which is surgery to remove excess, loose abdominal skin and fat that may occur following extensive weight loss. The proper code for a panniculectomy is 15830 (Excision, excessive skin and...

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