-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Billing blepharoplasty
- Thread starter cerowe
- Start date
Always Code to the Highest Level of Specificity
It all depends on how the blepharoplasty is performed. The first code, 15823, may be considered a simple repair, or possibly an intermediate repair. The second code, 67904, sounds like that would fall under the complex repair. You can find more info on what defines these repairs in your CPT 2015 book, under the subsection of Repair(Closure) within the Integumentary System of the Surgery section.
Also modifier 59 could come into play if there is more going on than just a blepharoptosis. I would look in detail at the procedures actually performed and compare them to the "repair" details I had mentioned and also considering the modifier 59 to see if it would apply so you can code to the highest level
Best of luck!
It all depends on how the blepharoplasty is performed. The first code, 15823, may be considered a simple repair, or possibly an intermediate repair. The second code, 67904, sounds like that would fall under the complex repair. You can find more info on what defines these repairs in your CPT 2015 book, under the subsection of Repair(Closure) within the Integumentary System of the Surgery section.
Also modifier 59 could come into play if there is more going on than just a blepharoptosis. I would look in detail at the procedures actually performed and compare them to the "repair" details I had mentioned and also considering the modifier 59 to see if it would apply so you can code to the highest level
Best of luck!
Last edited: