main-logo

Overview of CPT Code 15791: Injection of autologous fat

Overview of CPT Code 15791: Injection of autologous fat

CPT Code 15791 refers to the injection of autologous fat, a procedure where fat is harvested from one part of the patient's body and injected into another area to restore volume or improve contour.

When CPT Code 15791 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
  • Treatment of contour deformities

Symptoms Indicating This Procedure

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

  • Loss of facial volume
  • Asymmetry in body contours
  • Depressed scars or areas
  • Desire for fuller lips or cheeks

Causes and Risk Factors

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

  • Aging leading to loss of subcutaneous fat
  • Genetic predisposition to volume loss
  • Previous surgical procedures
  • Trauma or injury to specific body areas

Diagnostic Tests Before Procedure

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

  • Physical examination of the areas to be treated
  • Blood tests to assess overall health
  • Imaging studies if necessary to evaluate underlying structures

Procedure Description

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

  • Consultation to discuss goals and expectations
  • Harvesting fat using liposuction techniques
  • Processing the harvested fat to prepare for injection
  • Injecting the fat into the targeted areas
  • Post-procedure care instructions

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the procedure.

  • Avoid blood thinners and certain medications as advised
  • Stay hydrated and maintain a healthy diet
  • Arrange for transportation post-procedure if sedation is used
  • Discuss any allergies or medical conditions with the provider

Recovery and Aftercare

Post-procedure recovery is crucial for optimal results.

  • Rest for the first 24-48 hours
  • Avoid strenuous activities for a week
  • Follow wound care instructions to prevent infection
  • Use prescribed medications for pain management

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
card-topcard-bottom

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
hipaa-icon

Post-Procedure Follow-Up

Regular follow-up is essential 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 late complications

Alternative Treatments

There are non-surgical options available for volume restoration.

  • Dermal fillers for facial volume
  • Botox for wrinkle reduction
  • Surgical implants for breast enhancement
  • Skin tightening treatments

Home Care Tips

Patients can take simple steps to aid recovery at home.

  • Keep the injection site clean and dry
  • Avoid sun exposure on treated areas
  • Use cold compresses to reduce swelling
  • Stay hydrated and eat a balanced diet

Patient Education & Prevention

Understanding the procedure can help in making informed decisions.

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

Billing and Coding Information

CPT Code: 15791

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 your insurance provider for specific coverage details

References and Sources

Frequently Asked Questions (FAQs)

Is the fat injection procedure painful?

Most patients report mild discomfort, which can be managed with 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?

Most patients can resume normal activities within a few days, but avoid strenuous exercise for a week.

Are there any side effects?

Common side effects include swelling and bruising at the injection site.

diamond-bg
diamond-bg

Get started with your 20 free notes

Sign up for free
main-logo

AI-aided Sudsy Shorthand for ink-free practices

support@soapsuds.io
hipaa-logo

Clinical Notes

SOAP notes

DAP notes

AI medical notes

© Copyright SOAPsuds 2025. All rights reserved