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eyelid question

Jamie Dezenzo

True Blue
Mishawaka, IN
Best answers
I have a doc that states he did an mullerectomy for upper lids w/ an bleph incison for ptosis.

office only bills for 67908 and I think to bill for both 67908 and 15823 w/374.30

Op note reads

Inscision was made in the skin fold. Another incision superiorly was made and the excess skin excised. Hemostasis was obtained with cautery. The orbital septum was excised nasally and prolapsed fat removed and cauterized. The lid was everted and ptosis clamp was used to grasp approx. 6mm of the conjuctiva superior to the tarsal border. A 5-0 chromic suture was brought through the skin and run in a mattess fashion under the clamps temporally to nasally.
The clamps were removed and excess Muller's muscle and conjunctiva excised.

Any thoughts??? Thanks!


Best answers
Because of the 2 incisions and the fact that there is excess skin involved I would go with your coding; per the CCI, 67908 only bundles the 15822.