Ophthalmology and Optometry Coding Alert
Prove Blepharoplasty Wasn't Just Cosmetic With These 14 Diagnosis Codes
Tip: Look beyond ICD-9's eye section -- there are more options than you think Your individual carriers may have their own local coverage determinations (LCDs) instructing you which diagnoses support medical necessity for blepharoplasty procedures 15822 (Blepharoplasty, upper eyelid) or 15823 (- with excessive skin weighting down lid). But if your ophthalmologist has documented one of the following ICD-9 codes that carriers often consider medically necessary, you-re well on your way to showing carriers that the surgery was for more than cosmetic reasons. - 373.4 -- Infective dermatitis of eyelid of types resulting in deformity - 373.5 -- Other infective dermatitis of eyelid - 373.6 -- Parasitic infestation of eyelid - 374.30 -- Ptosis of eyelid, unspecified - 374.31 -- Paralytic ptosis - 374.32 -- Myogenic ptosis - 374.33 -- Mechanical ptosis - 374.34 -- Blepharochalasis - 374.87 -- Dermatochalasis - 374.89 -- Other disorders of eyelid - 743.61 -- Congenital ptosis - 743.62 -- Congenital deformities of eyelid - 743.63 -- Other specified congenital deformities of eyelid - V52.2 -- Fitting and adjustment of artificial eye.
Ophthalmology and Optometry Coding Alert
- Dodge Blepharoplasty Denials by Proving Medical Necessity With 2 VF Tests
Tip: Make sure you know your carrier's preference on E1-E4 vs. LT-RT Your ophthalmologist doesn't [...] - Prove Blepharoplasty Wasn't Just Cosmetic With These 14 Diagnosis Codes
Tip: Look beyond ICD-9's eye section -- there are more options than you think Your [...] - Clip and Save:
Conquer VF Documentation Challenges With This Handy Worksheet
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