That is an unusual scenerio. I would check the pathology report first to find out what kind of cyst it is, benign, malignant, etc.. then go to the CPT book. The surgeon is operating on a muscle of the eye. You might have to code the unlisted code, 67399. But, first check to see if there are any category III codes that can be coded. I personally would code the 67399 code if there is a complete description on the operative report to support it. If it is benign, I would use ICD-9 code, 224.8. You will find under the neoplasm table, muscle, extraocular. I coded surgeries for ophthalmology for 7 years and I have never seen this happen. I hope this helps.
Arlene Andrew, CPC, CPC-I
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