Excision of excessive skin and subcutaneous tissue of the abdomen

Description

This procedure involves the surgical excision of excess skin and subcutaneous tissue from the abdominal area. It is typically performed to improve the contour of the abdomen and may be indicated for patients with significant skin laxity or after weight loss. The procedure is classified under repair procedures of the integumentary system.

Medicare Hospital Outpatient Reimbursement (OPPS)

OPPS Payment Rate

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Patient Copayment / Coinsurance

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Medicare Ambulatory Surgical Center Reimbursement (ASC)

ASC Payment Rate

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Patient Copayment / Coinsurance

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Standard copayment (20%):—

Top Modifiers

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HCPCS/CPT ASServices by physician assistant, nurse practitioner, or clinical nurse specialist at surgery(16.74%)

HCPCS/CPT GCServices performed by a resident under the supervision of a teaching physician(14.88%)

HCPCS/CPT 82Assistant surgeon when qualified resident surgeon is unavailable(3.26%)

HCPCS/CPT XUUnusual non-overlapping service(2.33%)

HCPCS/CPT 59Distinct procedural service for non-E/M services(2.33%)

HCPCS/CPT GZItem or service expected to be denied as not reasonable and necessary(2.33%)

HCPCS/CPT 22Increased procedural services due to unusual complexity(2.33%)

HCPCS/CPT 80Assistant surgeon services during surgical procedures(2.33%)

HCPCS/CPT XSSeparate structure service on distinct organ or structure(0.93%)

HCPCS/CPT 62Two surgeons performing distinct parts of a procedure(0.93%)

Code Crosswalks

No crosswalks found.

Alternate Codes

No alternates found.

Billed With Codes

No codes found here.

Sources

We make no claims to ownership of the coding systems referenced on this platform. Codes and descriptions are produced from claims and chargemaster data available through the CMS-9915-F Transparency in Coverage Final Rule and via state or federal datasets. This service is provided solely as a reference to encourage use of these codes in our chargemaster review and automated billing tools, so that healthcare professionals can understand and correctly report these codes in their claims.

Federal and State Datasets

List of CPT/HCPCS Codes, Centers for Medicare & Medicaid Services (CMS)
I/OCE Quarterly Release Files, Centers for Medicare & Medicaid Services (CMS)
Physician Fee Schedule Relative Value Files, Centers for Medicare & Medicaid Services (CMS)
OPPS Addendum B, Centers for Medicare & Medicaid Services (CMS)
ASC Payment Addenda, Centers for Medicare & Medicaid Services (CMS)