Tag Archives: blepharoplasty
Posted on 04. Nov, 2009 by .
Answer: If the ophthalmologist performs the blepharoplasty (bleph) with excessive weight (15823, Blepharoplasty, upper eyelid; with excessive skin weighting down lid) on one eye and the blepharoptosis (ptosis) repair (67904, Repair of blepharoptosis; [tarso] levator resection or advancement, external approach) on the other eye, you may be able to report both codes by using modifier 59 (Distinct procedural service) on 15823 to designate a separate site from 67904. Otherwise, you should report only 67904.
Posted on 29. Mar, 2009 by .
Don’t settle for denials for a functional surgery that a payer incorrectly assumes is cosmetic, warn American Academy of Ophthalmology coders Sue Vicchrilli & Kim Ross.
Code 15823 (Blepharoplasty, upper eyelid; with excessive skin weighing down lid) can describe a medical necessary procedure to correct a visual complaint. However, payers might deny the claim as cosmetic if the documentation doesn’t note that the saggy eyelids are impairing vision, write Vicchrilli and Ross in a recent issue of the AAPC’s Coding Edge.
Watch out if the chart states simply something like “Patient complains of excessive baggy upper lid skin.”