CPT for Aesthetic Procedures Flashcards
7 cards from real CPCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 CPT for Aesthetic Procedures flashcards as text
Bilateral upper eyelid blepharoplasty is performed during the same session. How should this be reported?
Answer: 15822 with modifier 50
Bilateral blepharoplasty is reported with CPT 15822 and modifier 50 to indicate the procedure was performed on both upper eyelids.
A cosmetic procedure is performed for which no specific CPT code exists. What coding approach is most appropriate?
Answer: Report an unlisted procedure code for the appropriate body system
When no specific CPT code describes a cosmetic service, the appropriate unlisted procedure code for that body system is reported.
Modifier 22 is appended to a rhinoplasty code. What does this communicate to the payer?
Answer: The work required was substantially greater than typically described by the code
Modifier 22 (Increased Procedural Services) indicates the work required was substantially greater than typically described by the CPT code.
Which criterion most commonly determines whether a rhinoplasty qualifies for insurance coverage rather than being classified as cosmetic?
Answer: Documented nasal obstruction causing functional breathing impairment
Insurance coverage for rhinoplasty typically requires documented functional impairment such as nasal obstruction affecting breathing.
A brow lift and blepharoplasty are performed by the same surgeon during the same operative session. How should these be reported?
Answer: Report both procedures with modifier 51 on the secondary procedure
When two distinct procedures are performed during the same session by the same surgeon, both are reported with modifier 51 appended to the secondary procedure.
What is the standard global surgical period for major aesthetic procedures such as abdominoplasty?
Answer: 90 days
Major surgical procedures, including most aesthetic surgeries such as abdominoplasty, carry a 90-day global surgical period.
A dermal filler is injected into facial rhytids at 9 discrete intralesional sites. Which CPT code is reported for the injection service?
Answer: 11901
CPT 11901 describes intralesional injection at more than 7 lesions and applies when filler is injected at more than 7 facial sites.