Topic Thread

1.  Injecting Sterile Saline Solution for Lipoatrophy

Posted 13 days ago
Hi there!

Question.  I have a provider that is interested in injecting sterile saline to the divot for Lipoatrophy.  This would be done weekly for 4-8 weeks.  How would you code this?

Thank you in advance!

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Angela Adams
Operations Manager
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2.  RE: Injecting Sterile Saline Solution for Lipoatrophy

Posted 13 days ago
CPT does not have a code that accurately describes this procedure when saline is used to fill the divot. We recommend reporting the service as 96999 Unlisted special dermatological service or procedure. As with any unlisted CPT procedure code, the claim should be accompanied by a Special Report. Included in this report should be a description of the nature, extent, and need for the procedure, as well as the time, effort, and equipment needed to provide the service.

Many payers consider this procedure cosmetic in nature and we recommend checking with your payers to determine the need for prior authorization or financial waiver.

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Cynthia Stewart, CPC, CPMA,COC, CPC-I
Manager, Coding Resources
American Academy of Dermatologist
Schaumburg, IL
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