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Official Description

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

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 15835 refers to the surgical procedure known as excision of excessive skin and subcutaneous tissue, specifically targeting the buttock area. This procedure is often performed to address issues related to the presence of excessive skin and fat, which can occur due to significant weight loss or other factors. The removal of this excess tissue is crucial as it can alleviate various skin-related problems, such as rashes or infections, and improve mobility for the patient. The procedure typically involves making incisions in the skin to access the underlying tissue, allowing for the careful excision of the unwanted fat and skin. The technique may also include the use of a cannula to suction out fat that is located beneath the skin surface. After the removal of the excess tissue, the remaining skin is sutured back together, and a drain may be placed to facilitate healing. This code is part of a broader classification of procedures that address similar issues in different body areas, with specific codes designated for the thigh, leg, hip, arm, forearm or hand, submental fat pad, and other regions, ensuring accurate coding and billing for various surgical interventions.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

Excision of excessive skin and subcutaneous tissue from the buttock, as described by CPT® Code 15835, is indicated for patients who present with the following conditions:

  • Excessive Skin and Fat: Patients with significant overhanging skin and subcutaneous fat in the buttock area, often resulting from extreme weight loss or obesity.
  • Skin Problems: Individuals experiencing recurrent skin issues such as rashes, infections, or irritation due to the presence of excessive tissue.
  • Functional Impairment: Patients whose mobility is hindered by the excess skin and fat, affecting their daily activities and quality of life.

2. Procedure

The procedure for excision of excessive skin and subcutaneous tissue from the buttock involves several key steps:

  • Step 1: The patient is positioned appropriately, and the surgical area is marked to outline the extent of the tissue to be removed. This ensures precision during the excision process.
  • Step 2: An incision is made along the predetermined lines, allowing access to the underlying skin and subcutaneous tissue. The incision is typically designed to minimize scarring.
  • Step 3: Excess skin and subcutaneous fat are carefully dissected and excised. This may involve the use of a cannula to suction out fat that is located beneath the skin, ensuring thorough removal of unwanted tissue.
  • Step 4: Once the excess tissue is removed, the remaining skin is brought together and sutured closed. This step is crucial for proper healing and aesthetic outcomes.
  • Step 5: A drain may be inserted to facilitate the removal of any excess fluid that may accumulate during the healing process. The drain is typically left in place for a specified period to promote optimal recovery.

3. Post-Procedure

After the excision of excessive skin and subcutaneous tissue from the buttock, patients can expect a recovery period that may involve some discomfort and swelling. Post-procedure care typically includes instructions for wound care, pain management, and activity restrictions to promote healing. Patients are advised to monitor the surgical site for any signs of infection or complications. Follow-up appointments are essential to assess healing progress and to remove any sutures if necessary. The duration of recovery can vary based on individual factors, but adherence to post-operative guidelines is crucial for achieving the best possible outcomes.

Short Descr EXC EXCESSIVE SKIN BUTTOCK
Medium Descr EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK
Long Descr Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock
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) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
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
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).
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)
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
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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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