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eyelid question

  1. Talking eyelid question
    Medical Coding Books
    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!

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I agree with you

  3. #3
    Default
    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.
    NoRaX

  4. Default
    Thanks for your help!!!

  5. Default now bundled
    Hello All,

    I have 67908 and 15823. Should just bill 15823 example above or enough to 67908-59 and 15823?

    Thanks!

  6. #6
    Location
    Columbia, MO
    Posts
    12,526
    Default
    Did he do both upper lids or just one?

    Debra A. Mitchell, MSPH, CPC-H

  7. Default
    Yes, both lids

  8. #8
    Location
    Columbia, MO
    Posts
    12,526
    Default
    Use eyelid modifiers, instead of the 59.

    Debra A. Mitchell, MSPH, CPC-H

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