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Official Description

Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 15834 involves the excision of excessive skin and subcutaneous tissue, specifically targeting the hip area. This surgical intervention is commonly referred to as a lipectomy, which is a procedure aimed at removing excess fat and skin that may result from significant weight loss or other conditions that lead to an overabundance of tissue. The presence of excessive skin and subcutaneous tissue can lead to various complications, including skin irritations, infections, and mobility issues, as the overhanging tissue can interfere with normal movement and hygiene. The surgical approach typically includes making an incision that extends from below the sternum down to the pubic bone, allowing for the careful removal of the excess tissue. In some cases, a cannula may be utilized to dislodge and suction out fat from beneath the skin, ensuring a more refined contour. After the removal of the tissue, the remaining skin is sutured back together, and a drain may be placed to facilitate healing and prevent fluid accumulation. This procedure is part of a broader category of surgeries that address similar issues in various body areas, with specific codes designated for each region of the body where excessive tissue may be present.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 15834 is indicated for patients who present with excessive skin and subcutaneous tissue in the hip area. This condition may arise due to significant weight loss, which can leave behind overhanging skin that may cause various complications. The following are specific indications for performing this procedure:

  • Excessive Skin and Tissue The presence of excessive skin and subcutaneous tissue that may lead to skin problems, such as rashes or infections, and can interfere with mobility.
  • Post-Weight Loss Patients who have undergone significant weight loss, resulting in an abundance of skin that cannot retract naturally.
  • Functional Impairment Situations where the excess tissue restricts movement or causes discomfort during daily activities.

2. Procedure

The procedure for CPT® Code 15834 involves several key steps to ensure the effective removal of excessive skin and subcutaneous tissue from the hip area. The following outlines the procedural steps:

  • Step 1: Anesthesia Administration The procedure begins with the administration of anesthesia to ensure the patient is comfortable and pain-free throughout the surgery. This may involve general anesthesia or local anesthesia, depending on the extent of the procedure and the patient's needs.
  • Step 2: Incision Creation A surgical incision is made, typically starting from below the sternum and extending down to the pubic bone. This incision allows the surgeon access to the underlying tissue that requires removal.
  • Step 3: Tissue Removal The surgeon carefully excises the excessive skin and subcutaneous tissue from the hip area. This may involve the use of a cannula, a long hollow needle, to dislodge and suction out fat from beneath the skin, ensuring a smooth and contoured appearance.
  • Step 4: Skin Closure After the removal of the excess tissue, the remaining skin is brought together and sutured closed. This step is crucial for proper healing and aesthetic outcomes.
  • Step 5: Drain Placement A drain may be inserted to facilitate the removal of any excess fluid that may accumulate during the healing process. This helps to prevent complications such as seromas or infections.

3. Post-Procedure

Following the procedure associated with CPT® Code 15834, patients can expect a recovery period that may vary based on individual circumstances and the extent of the surgery. Post-procedure care typically includes monitoring for any signs of infection, managing pain with prescribed medications, and following specific instructions regarding activity levels. Patients are often advised to avoid strenuous activities and heavy lifting during the initial healing phase. The drain, if placed, will be monitored and removed once the fluid accumulation decreases. Follow-up appointments will be necessary to assess healing progress and to remove sutures if non-dissolvable sutures were used. Overall, the goal of post-procedure care is to ensure a smooth recovery and optimal results from the surgery.

Short Descr EXC EXCESSIVE SKIN HIP
Medium Descr EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP
Long Descr Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip
Status Code Active Code
Global Days 090 - Major Surgery
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 Hospital Part B services paid through a comprehensive APC
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) P1G - Major procedure - Other
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.
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
82 Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s).
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
GC This service has been performed in part by a resident under the direction of a teaching physician
GZ Item or service expected to be denied as not reasonable and necessary
LT Left side (used to identify procedures performed on the left side of the body)
Q6 Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
RT Right side (used to identify procedures performed on the right side of the body)
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
Date
Action
Notes
2025-01-01 Changed Short Description changed.
2013-01-01 Changed Description Changed
2007-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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