Wiki How would you code this?-Desmarres retractor

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ammontagano

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The eyelid was everted over a Desmarres retractor. A Colorado-tipped monopolar electrocautery was used to make an infratarsal incision for the full horizontal extent of the lid. A lateral canthotomy and inferior cantholysis was performed via the conjunctival approach. The dissection was carried inferiorly in a retro-orbicularis plane down to the level of the inferior orbital rim. The periosteum was opened with a monopolar cautery. Freer elevators were used to elevate the periosteum posteriorly. A portion of the lateral floor was punctured with a Freer elevator, entering the maxillary sinus. Kerrison ronguers were used to create a bony opening within the orbital floor.

Was told to use CPT 67400. Any thoughts would be appreciated. Thanks.
 
Based on your note, I would be more inclined to use 67414; 67400 is for exploration, with or without biopsy, whereas 67414 is with removal of bone for decompression (unless I'm reading more into the note than is there.)

David Keown, CPC, OCS
 
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