Medical Billing and Coding Resources
Medical Billing and Coding Resources
Modifier 80: Assistant Surgeon During certain operations, one physician assists another physician in performing a procedure. The physician who assists the operating surgeon would report the same surgical procedure as the operating surgeon. The assistant surgeon generally is present during the entire operation or a substantial portion of the operation to provide assistance to the […]
Modifier 53: Discontinued Procedures As per Appendix A of CPT: ‘Due to extenuating circumstances or those that threaten the well-being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. This circumstance may be reported by adding the modifier 53 to the code reported by the […]
Modifier 66: Team Surgery Under some circumstances, highly complex procedures (requiring the concomitant services of several physicians or other qualified health care professionals, often of different specialties, plus other highly skilled, specially trained personnel, various types of complex equipment) are carried out under the ‘surgical team’ concept. Such circumstances may be identified by each participating […]
Modifier 62: Two Surgeons Under some circumstances, the individual skills of two or more surgeons are required to perform surgery on the same patient during the same operative session. This may be required because of the complex nature of the procedure(s) and/or the patient’s condition. In these cases, the additional physicians are not acting as […]
Negative Pressure Wound Therapy (NPWT) Negative pressure wound therapy (NPWT), also referred to as vacuum-assisted wound closure, is a treatment for acute and chronic wounds that uses the controlled application of sub-atmospheric pressure to the surface of a wound to remove exudate and debris. The system includes dressings, a suction pump, tubing and a collection […]
+15005 CPT Code Description: Surgical Preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, neck ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm, or part thereof, or each additional 1% of body […]
15004 CPT Code Description: Surgical Preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, neck ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children. Skin […]
+15003 CPT Code Description: Surgical Preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition […]
15002 CPT Code Description: Surgical Preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children. Skin Replacement/Surgical Preparation Codes (15002-15005) Skin replacement codes (15002-15005) apply […]
+11047 CPT code Description: Each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) (Do not report 11042-11047 in conjunction with 97597-97602 for the same wound) (Use 11047 CPT code in conjunction with 11044). Description of Procedure (11047) Intraservice work includes additional assessment and debridement after the first […]
