Ophthalmology and Optometry Coding Alert

You Be the Coder:

Dx for Brow Ptosis

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer.

Question: Which diagnosis code should I use for brow ptosis?

Georgia Subscriber

 
 
 
Answer: Use 701.8 (other specified hypertrophic and atrophic conditions of skin). You will need to document, perhaps with photos, that this was performed for a medically necessary reason, and not for cosmetic purposes. Ask your local Medicare carrier if they have a local medical review policy for this service that lists additional guidelines for documenting the medical necessity and billing.

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