You Be the Coder:
How Can You Determine When Blepharoplasty Is Cosmetic?
Published on Wed Apr 18, 2018
Question: We performed blepharoplasty for a patient who was left with a drooping eyelid following a bout of Bell's Palsy. The insurer denied the claim saying it was cosmetic. How do they make that determination, and can we appeal? Codify Subscriber Answer: You can always appeal if the physician believes the procedure was medically necessary, but first check the insurer's [...]