Wiki Help Upper Lid Wedge Tarsal Tightening

Community Wiki

This is a community-maintained wiki post containing the most important information from this thread. You may edit the Wiki once you have been on AAPC for 30 days and have made 5 posts. Learn More
Code: H02.0

Code Name: ICD-10 Code for Entropion and trichiasis of eyelid

Block: Disorders of eyelid, lacrimal system and orbit (H00-H05)

Excludes 2: open wound of eyelid (S01.1-)
superficial injury of eyelid (S00.1-, S00.2-)

Details: Entropion and trichiasis of eyelid

Excludes1: congenital malformations of eyelid (Q10.0-Q10.3)

Guidelines: Diseases of the eye and adnexa (H00-H59)

Excludes 2: certain conditions originating in the perinatal period (P04-P96)
certain infectious and parasitic diseases (A00-B99)
complications of pregnancy, childbirth and the puerperium (O00-O9A)
congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
endocrine, nutritional and metabolic diseases (E00-E88)
injury (trauma) of eye and orbit (S05.-)
injury, poisoning and certain other consequences of external causes (S00-T88)
neoplasms (C00-D49)
symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)

Note: Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

For more details on H02.0, ICD-10 Code for Entropion and trichiasis of eyelid , visit:


Best answers
Any help would be appreciated;

A marking pen was used to make a modified angeled wedge incisionline in the lateral left upper lid. A forcep was used to simulate the new canthal angle to make sure the approropriate amount of lid was being excised. Once I was satisfied with this, curved hemostats were used to compress the lateral lid and angled it towards the canthus. A 2nd compression was made at the canthus, angled upward, resulting in a modified wedge. this was then cut free with Wescott scissors. The base was cauterized with the Bovie. Next, 2 interruped 4-0 Vicryl sutures were used to approxiamate the lateral part of hte tarsal plate that was exposed to torbital rim periosteum and to the inferior canthal ligament. the lateral canthal angle was then recreated witha 6-o Vicryl suter. the lateral canthal skin was closed with 6-0 gut suture.

Office coded at 67917, don't think this is right. I thought this code is for a lower lid. I am leaning more toward 67908.



Best answers
The note is not very clear. I would lean more towards 67916 or 67923. More clarification is needed. There is no description of levator resection so I would not agree with 67908. Question: is this for entropion, ectropion, trichiasis, or repair of blepharoptosis.