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The procedure described by CPT® Code 15825 refers to a rhytidectomy specifically targeting the neck area, which includes the tightening of the platysma muscle through a technique known as the platysmal flap or P-flap. In this surgical intervention, the physician aims to improve the appearance of the neck by removing excess skin that may contribute to sagging or wrinkling. The process begins with the creation of an incision, typically positioned in front of the ears, which allows access to the underlying structures. The superficial musculoaponeurotic system (SMAS), a layer of tissue that supports the skin, is carefully dissected and tightened using sutures to enhance the contour of the neck. Additionally, a second incision is made beneath the chin, where the platysma muscle is accessed. This incision facilitates the creation of a flap, which is then elevated and repositioned to achieve a more youthful neck appearance. The flap is secured in place with multilayered sutures, and the surgical wounds are meticulously closed in multiple layers to promote optimal healing and minimize scarring. This procedure is typically performed on patients seeking to address signs of aging in the neck region.
© Copyright 2025 Coding Ahead. All rights reserved.
The rhytidectomy of the neck with platysmal tightening is indicated for patients who exhibit signs of aging in the neck area, which may include:
The rhytidectomy procedure involves several key steps to ensure effective results. First, the physician marks the areas for incision, typically placing the initial incision in front of the ears. This incision allows for access to the underlying tissues while minimizing visible scarring. Once the incision is made, the superficial musculoaponeurotic system (SMAS) is carefully dissected. This layer is crucial for facial support, and its tightening is essential for achieving a lifted appearance. The physician uses sutures to secure the SMAS in a more elevated position, which helps to contour the neck effectively.
Following the SMAS tightening, a second incision is created beneath the chin. This incision provides access to the platysma muscle, which is then dissected to create a platysmal flap, commonly referred to as the P-flap. The flap is carefully elevated and repositioned upwards and backwards to enhance the neck's contour. Once the flap is in the desired position, it is secured with multilayered sutures to ensure stability and support. Finally, the incisions are closed in multiple layers, which aids in minimizing scarring and promotes optimal healing.
After the rhytidectomy procedure, patients can expect a recovery period that may involve some swelling, bruising, and discomfort in the neck area. Post-operative care typically includes instructions for managing pain, keeping the surgical site clean, and monitoring for any signs of infection. Patients are advised to avoid strenuous activities and to follow up with their physician for scheduled evaluations to ensure proper healing. The final results of the procedure may take several weeks to fully manifest as swelling subsides and the skin settles into its new position. It is important for patients to adhere to their physician's recommendations for optimal recovery and aesthetic outcomes.
| Short Descr | RHYTDCT NCK PLTYSML TGHTG | Medium Descr | RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING | Long Descr | Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) | Status Code | Restricted Coverage | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 1 | CCS Clinical Classification | 175 - Other OR therapeutic procedures on skin and breast |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2025-01-01 | Changed | Short Description changed. |
| Pre-1990 | Added | Code added. |
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