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Thread: Occular Reconstruction help please.

  1. #1
    Join Date
    Apr 2007

    Question Occular Reconstruction help please.

    AAPC: Back to School
    I had posted this originally in the ASC section without any reply. Thought I would try here.

    A full thickness lid resection was performed of the right lower eyelid consisting of approximatley 80% of lower eyelid down to the orbital rim. Medial margin returned positive and addition section was removed, which came back negative.

    The tarsal conjunctival pedicle flap from the right upper eyelid to the right lower eyelid was fashioned with removal of approximately 70% of the right upper lid tarsal plate. Conjunctival pedicle flap was then secured in position through the capsular and palpebral fascia. The fascia was identified at the orbital rim. Multiple 5-0 Vicryl was then used to secure the tarsal graft and tarsal plate from the conjuntival pedicle flap. This was secured and then the skin was harested from the left upper lid in standard graft incision. The skin graft was then deatted, transfered over and multiple 6-0 fastin used to secure the graft. Medial canthal reconstruction also was reconstructed, reconstucting the medial canthal tendon ligament over to the tarsal plate and this was performed and secured in position with 5-0 vicryl. The canalicular system need to be sacrificed in the midst of extensive and invasive cancer. Reconstuction of the canalicular system was not performed in this setting. A Frost suture tarsorrhaphy was performed over a Xeroform and sterile foam pledget. A pressure pack was placed over the eye.

    I was looking at the following codes, but I am just not sure, as Doc is wanting to use 15732.

    67973 E4
    67950 RT
    67840 E4



  2. #2


    Try this

    67973 e4
    67875 (frost suture)
    you would not code 67950 (canthoplasty) not sure if that was done and if it was it is bundled with 67973

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