Overview of CPT Code 15769: Injection of autologous fat for soft tissue augmentation

CPT Code 15769 refers to the injection of autologous fat, which is fat harvested from the patient's own body, for the purpose of soft tissue augmentation. This procedure is commonly used in cosmetic and reconstructive surgery to enhance facial features, restore volume, and improve the appearance of scars or deformities.

When CPT Code 15769 is Used?

This procedure is indicated in various clinical scenarios, including:

Facial volume loss due to aging or weight loss.
Reconstruction after trauma or surgery.
Enhancement of lips, cheeks, or other facial features.
Correction of contour deformities.
Improvement of the appearance of scars.

Symptoms Indicating This Procedure

Patients may report the following symptoms that indicate the need for this procedure:

Sunken or hollow cheeks.
Thin or deflated lips.
Visible scars or indentations.
Loss of volume in the hands or other body areas.
Desire for a more youthful appearance.

Causes and Risk Factors

Several factors can contribute to the need for soft tissue augmentation:

Aging, leading to loss of subcutaneous fat.
Genetic predisposition to facial volume loss.
Significant weight loss or medical conditions affecting body fat.
Previous surgeries or trauma resulting in contour irregularities.

Diagnostic Tests Before Procedure

Before the procedure, the following diagnostic tests may be performed:

Physical examination to assess areas for augmentation.
Medical history review to identify contraindications.
Imaging studies if deeper structural issues are suspected.

Procedure Description

The procedure involves several key steps:

Consultation to discuss goals and expectations.
Harvesting fat from a donor site, typically the abdomen or thighs.
Processing the harvested fat to prepare it for injection.
Injecting the processed fat into the targeted areas using fine needles.
Post-procedure care instructions provided to the patient.

Preparation for the Procedure

Patients should follow these steps to prepare for the procedure:

Avoid blood thinners and certain medications as advised by the physician.
Stay hydrated and maintain a healthy diet leading up to the procedure.
Arrange for transportation to and from the appointment.
Discuss any allergies or medical conditions with the healthcare provider.

Recovery and Aftercare

Patients can expect the following during recovery:

Initial swelling and bruising at the injection sites, which should subside within a few days.
Avoiding strenuous activities for at least a week.
Following up with the healthcare provider for any concerns.
Using cold compresses to reduce swelling as needed.

Possible Complications

While generally safe, there are potential risks associated with this procedure:

Infection at the injection or harvesting site.
Uneven results or asymmetry.
Fat necrosis or lump formation.
Allergic reactions to anesthesia or other materials used.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is essential for optimal results:

Initial follow-up within one week to assess healing.
Additional follow-ups at one month and three months post-procedure.
Ongoing assessments to monitor for any complications or concerns.

Alternative Treatments

Patients may consider these alternative options:

Dermal fillers for temporary volume enhancement.
Botox for wrinkle reduction.
Surgical options like facelifts for more significant changes.
Skin rejuvenation treatments such as laser therapy.

Home Care Tips

To aid recovery, patients should consider the following tips:

Keep the injection sites clean and dry.
Avoid touching or massaging the treated areas.
Follow all post-procedure instructions provided by the healthcare provider.
Monitor for any signs of infection or unusual symptoms.

Patient Education & Prevention

To prevent complications and recurrence, patients should be aware of:

Understanding the importance of follow-up appointments.
Maintaining a healthy lifestyle to support skin and tissue health.
Being informed about the risks and benefits of the procedure.
Discussing any concerns with the healthcare provider.

Billing and Coding Information

CPT Code: 15769

Category: Surgical Procedures

Common Modifiers:

50 - Bilateral procedure
RT - Right side
LT - Left side

Average Cost and Insurance Coverage

The cost of this procedure can vary widely:

Average cost ranges from $2,000 to $5,000 depending on the extent of the procedure.
Insurance may not cover cosmetic procedures; check with your provider.
Some plans may cover reconstructive procedures if deemed medically necessary.