Otolaryngology Coding Alert
Laser Ablation Isn't Synonymous With Dermabrasion
Question: The operative note was dictated as, “C02 laser ablation of carcinoma in situ of the face (not full face-segmental).” Is it appropriate to use a dermabrasion code such as 15781 for this?
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
New Mexico Subscriber
Answer: Laser ablation is a type of destruction, and isn’t related to dermabrasion. A more accurate choice would be to report the destruction with the appropriate code from the 17000-17250 series, depending upon the number, type, and size of lesions treated. Your physician’s documentation should include these details.
Future reference: During dermabrasion, the provider uses a powered rotary instrument to “sand down” or smooth scarred or wrinkled areas. The procedure lowers raised lesions or thins tissue to regenerate skin with a smoother appearance. CPT® includes four codes for facial dermabrasion:
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