Results 1 to 2 of 2

Occular Reconstruction help please.

  1. #1
    Question Occular Reconstruction help please.
    New Call-to-action
    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. Default
    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

Similar Threads

  1. occular venous occlusion ICD 9 Code
    By chaimz in forum Diagnosis Coding
    Replies: 0
    Last Post: 09-09-2015, 01:31 PM
  2. Reconstruction
    By Gator in forum Orthopaedics
    Replies: 1
    Last Post: 01-16-2015, 11:17 AM
  3. Coding help occular plastic
    By CVelez in forum Outpatient Facilities
    Replies: 0
    Last Post: 09-22-2010, 11:55 AM
  4. 3D reconstruction
    By Kimberley in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 04-25-2009, 09:26 AM
  5. 2-D vs 3- D reconstruction
    By miss407 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-09-2008, 12:44 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.