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Answer: While there is no specific code for transient lid spasm, there are two rules to remember here: (1) the physician is the only one who should choose a code, and (2) you cant code close if an accurate diagnosis code doesnt exist, go to the signs and symptoms section of ICD-9 (780-799) and find something that does (782.0, disturbance of skin sensation, is one possibility). Sometimes patients get a twitch in their eyelid. Whether this is a blepharo- spasm (333.81) is up to the physician. If you cannot find a code based on the information a physician provides you, you have an obligation to go back to the physician and say, for example, I cant find a code for transient lid spasm, but I can find one for blepharo- spasm. Is this the right code? If there is even a shadow of a doubt, ask the physician, Does this mean the same thing? Never guess at a code, and do not rely on codelink books. Another alternative is to go back to the chart and look at the chief complaint and other notes. You may find other information that will lead you to a better diagnosis. But again, check with the physician before using it on the claim form. Other possible codes for transient lid spasm are 781.0 (abnormal involuntary movements), 307.20 (tic, lid) and 351.8 (other facial nerve disorders).
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