Ophthalmology and Optometry Coding Alert

Question: How would I code for insertion of gold eyelid weights to correct lagophthalmos? Is there a code for the supply of the gold weights themselves? Wisconsin Subscriber Answer: Report 67912 (Correction of lagophthalmos, with implantation of upper eyelid lid load [e.g., gold weight]) for the insertion of the gold eyelid weights. Ophthalmologists sometimes weigh down a patient's upper eyelids to correct lagophthalmos, which is the inability to close the eye completely. Untreated, the condition could lead to abrasions, infections and corneal drying. When Medicare developed the new code for this procedure in 2004, the expectation was that reimbursement included the gold weight supply. With 22.03 non-facility RVUs in the 2010 fee schedule, 67912 should bring approximately $858.86 into your practice (after multiplying the RVUs by the 36.0846 conversion factor -- see "Breathe a Sigh of Relief for Conversion Factor" in Ophthalmology Coding Alert, Vol. 13, No. 1). For non-Medicare payers, [...]