Results 1 to 3 of 3

Help coding eyelid surgery.

  1. #1
    Question Help coding eyelid surgery.
    Medical Coding Books
    Any suggestions on coding this procedure. I am just not sure

    Operation: 1. Lateral canthal reconstruction.
    2. Intermarginal adhesion.
    3. Full-thickness skin graft from right upper lid to right lower lid.
    4. Frost suture tarsorrhaphy.

    Pt has severe ectropion secondary to right lower lid laxity as well as previous cancers removed from his right lower lid that resulted in severe ectropion.

    The upper lid was injected. A standard upper lid belpharoplasty incision was then marked. Skin was then removed. Hemostasis was maintained. The incision line was closed with a 6-0 nylon. Next a canthotomy cantholysis was performed, releasing the inferior canthal tendon completely. A tarsal strip was then fashioned with removal of the orbicularis anteriorly as well as the posterior conjunctiva posteriorly. A subciliary incision was then peprformed with release of anterior lamell including down the orbicularis. Hemostatis was maintained. The graft was then transfered over from the right upper lid to the right lower lid, set in position with a 6-0 fast. A 5-0 Vicryl on a P2 needle was then used to resuspend the lower lid tarsal plate. When that was satisfactory, then a 5-0 fast was used to create an intermarginal adhesion and the skin graft, as I said, was sewn into place with a 6-0 fast. At the conclusion a Frost suture tarsorrhaphy was placed on the lid.



  2. Default
    I'll take a stab at this....
    I'm looking at 67971 or 67973 and 67875...Per CCI edits 67950 bundles.

  3. #3

Similar Threads

  1. Help on Eyelid biopsy
    By jelms in forum Dermatology
    Replies: 1
    Last Post: 11-23-2012, 09:40 AM
  2. eyelid lesion
    By Torilinne in forum General Surgery
    Replies: 1
    Last Post: 02-06-2012, 06:51 AM
  3. SOOF on an eyelid
    By dkaz1 in forum Plastic Surgery
    Replies: 1
    Last Post: 08-14-2009, 08:45 AM
  4. Please help eyelid surgery.
    By CVelez in forum Outpatient Facilities
    Replies: 1
    Last Post: 08-07-2009, 01:42 PM
  5. eyelid surgery
    By linhtran in forum Outpatient Facilities
    Replies: 0
    Last Post: 07-29-2009, 02:48 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.