Find comprehensive information on tummy tuck diagnosis, including CPT codes, ICD-10 codes, medical necessity guidelines, abdominoplasty documentation requirements, and postoperative care coding. This resource covers panniculectomy, abdominoplasty complications, and proper clinical documentation for insurance reimbursement related to diastasis recti, excess skin removal, and abdominal wall reconstruction. Learn about post-operative complications, revision surgery coding, and best practices for healthcare professionals involved in tummy tuck procedures.
Also known as
Other specified localized adiposity
This code captures excess abdominal fat, a common reason for tummy tucks.
Other congenital malformations of abdominal wall
May be applicable if the tummy tuck addresses a congenital abdominal wall defect.
Encounter for cosmetic surgery
This code is used if the tummy tuck is primarily for cosmetic purposes.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the tummy tuck for reconstruction following a prior surgery?
Yes
Specify the reason for the prior surgery.
No
Is there diastasis recti present?
When to use each related code
| Description |
|---|
| Abdominoplasty (Tummy Tuck) |
| Panniculectomy |
| Liposuction |
Patient presents for consultation regarding abdominoplasty, commonly known as a tummy tuck. The patient reports concerns with excess abdominal skin and fat, diastasis recti, and weakened abdominal musculature, impacting their body image and potentially causing functional limitations. These concerns may stem from post-pregnancy changes, significant weight loss, or the natural aging process. Physical examination reveals redundant abdominal skin and subcutaneous adipose tissue, with palpable muscle laxity consistent with the patient's reported symptoms. Measurements of the pannus, the degree of diastasis recti, and the location of the umbilicus are documented. Photographs are taken for preoperative planning and postoperative comparison. The risks and benefits of abdominoplasty, including potential complications such as infection, seroma formation, hematoma, scarring, and nerve damage, were discussed in detail. Alternative treatment options, such as liposuction alone or non-surgical body contouring procedures, were also considered and explained to the patient. The patient understands the procedure, the recovery process, and postoperative care instructions. A full abdominoplasty with plication of the rectus abdominis muscles and umbilical transposition is planned. The procedure will be performed under general anesthesia. Preoperative laboratory testing and medical clearance are required. CPT codes for abdominoplasty (15830, 15847, or 15839 depending on the specific technique used) and associated muscle repair (if applicable) will be used for billing and coding purposes. Postoperative follow-up appointments are scheduled for wound assessment, drain removal if necessary, and monitoring for complications. The patient will be provided with compression garments and instructions for optimal healing and scar management.