CPT code 15778, 15853, 15854 Coding Guide

Jitendra M.Sc CPC
Three new CPT codes has been added in integumentary system. These codes will be used from 1st January 2023 by medical coders. The new codes are added for removal of sutures and/or staples not requiring anesthesia. These codes should be used along with E/M codes. CPT code 15853 and 15854 will be used for coding for removal of sutures and/or staples exam from 2023. Also we have one more new CPT code 15778 for implantation of mesh or other prosthesis for delayed closure of defect. We will learn more about these procedure codes codes below in detail.
CPT code 15778, 15853, 15854 Coding Guide

Description of CPT code 15778, 15853 and 15854

15778 Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma

15853 Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)

15854 Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code)

CPT code 15850 describing the removal of sutures under anesthesia, has been deleted

Do and Don’t with CPT code 15778, 15853 and 15854

For repair of anorectal fistula with plug [eg, porcine small intestine submucosa {SIS}], use CPT code 46707

For implantation of mesh or other prosthesis for anterior abdominal hernia repair or parastomal hernia repair, use CPT code 49591–49622

For insertion of mesh or other prosthesis for repair of pelvic floor defect, always use CPT code 57267

For implantation of non-biologic or synthetic implant for fascial reinforcement of the abdominal wall, always use code 0437T

Always use CPT code 15853 in conjunction with CPT code 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99281, 99282, 99283, 99284, 99285, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350

Do not code or report CPT code 15853 in conjunction with code 15854

Always use CPT code 15854 in conjunction with  CPT code 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99281, 99282, 99283, 99284, 99285, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350
Do not code or report CPT code 15854 in conjunction with code 15853
Revised code
15851 Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation)
(Do not report 15851 for suture and/or staple removal to re-open a wound prior to performing another procedure through the same incision)

One Thought to “CPT code 15778, 15853, 15854 Coding Guide”

  1. Questions and Answers July 2023 CPT assistant - Medical Coding Guide
    September 23, 2023 at 9:16 am

    […] New codes 15853 and 15854 are intended for reporting practice expense (PE) related to suture or staple removal when not […]

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