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Overview of CPT Code 15788:Injection of autologous fat

Overview of CPT Code 15788:Injection of autologous fat

CPT Code 15788 refers to the injection of autologous fat, a procedure where fat is harvested from a patient's own body and injected into another area to restore volume, improve contour, or enhance aesthetics.

When CPT Code 15788 is Used?

This procedure is commonly indicated in various clinical scenarios.

  • Reconstruction after trauma or surgery
  • Correction of facial volume loss due to aging
  • Enhancement of breast volume post-mastectomy
  • Improvement of contour in areas such as the buttocks or hands

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

  • Loss of volume in the face or body
  • Asymmetry in body contours
  • Desire for aesthetic enhancement
  • Post-surgical deformities or irregularities

Causes and Risk Factors

Several factors can contribute to the need for autologous fat injection.

  • Aging leading to natural fat loss
  • Genetic predisposition to volume loss
  • Previous surgeries or trauma
  • Weight fluctuations affecting body contour

Diagnostic Tests Before Procedure

Certain tests may be performed to ensure the patient is a suitable candidate for the procedure.

  • Physical examination to assess areas for fat harvesting and injection
  • Blood tests to evaluate overall health and healing capacity
  • Imaging studies if necessary to assess underlying structures

Procedure Description

The procedure involves several key steps to ensure safety and effectiveness.

  • Consultation to discuss goals and expectations
  • Marking the areas for fat harvesting and injection
  • Administering local anesthesia to minimize discomfort
  • Harvesting fat using liposuction techniques
  • Processing the harvested fat for injection
  • Injecting the processed fat into the targeted areas
  • Applying dressings and providing post-procedure instructions

Preparation for the Procedure

Patients should follow specific guidelines 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

Post-procedure care is crucial for optimal recovery.

  • Expect swelling and bruising in the treated areas for several days
  • Follow up with the healthcare provider as scheduled
  • Avoid strenuous activities for at least a week
  • Use prescribed medications to manage pain and prevent infection

Possible Complications

While generally safe, there are potential risks associated with the procedure.

  • Infection at the injection site
  • Uneven results or asymmetry
  • Fat necrosis or lump formation
  • Allergic reactions to anesthesia or medications
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Post-Procedure Follow-Up

Regular follow-up is important to monitor recovery.

  • Initial follow-up within a week to assess healing
  • Subsequent visits as needed to evaluate results
  • Long-term follow-up to monitor for any delayed complications

Alternative Treatments

There are other options available for volume restoration.

  • Dermal fillers for temporary volume enhancement
  • Botox for wrinkle reduction
  • Surgical implants for permanent volume increase
  • Skin tightening procedures to improve contour

Home Care Tips

Patients can take steps at home to aid recovery.

  • Keep the injection sites clean and dry
  • Apply ice packs to reduce swelling
  • Avoid sun exposure on treated areas
  • Follow a balanced diet to support healing

Patient Education & Prevention

Understanding the procedure can help in making informed decisions.

  • Discuss all concerns and expectations with the provider
  • Understand the risks and benefits of the procedure
  • Maintain a healthy lifestyle to prolong results
  • Be aware of signs of complications and when to seek help

Billing and Coding Information

CPT Code: 15788

Category: Surgical Procedures

Common Modifiers:

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

Average Cost and Insurance Coverage

Costs can vary based on several factors.

  • Average cost ranges from $2,000 to $5,000
  • Insurance may cover the procedure if deemed medically necessary
  • Check with the insurance provider for specific coverage details

References and Sources

Frequently Asked Questions (FAQs)

Is the fat injection procedure painful?

Most patients report minimal discomfort due to local anesthesia.

How long do the results last?

Results can last several months to years, depending on individual factors.

Can I return to normal activities after the procedure?

Light activities can usually be resumed within a few days, but avoid strenuous exercise.

Are there any side effects?

Common side effects include swelling and bruising, which typically resolve quickly.

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