tci E/M Coding Alert - 2020 Issue Q1

Reader Question: Report E/M in This Eyelid Encounter

Question: Our physician performed chemodenervation to treat a bilateral blepharospasm on a new patient, according to the notes. What is a blepharospasm, and which CPT® and ICD-10 codes should I report for this encounter? Arizona Subscriber Answer: According to the Benign Essential Blepharospasm Research Foundation (BEBRF), “blepharospasm is a neurological condition characterized by forcible closure of the eyelids.” Providers apply the term to any abnormal blinking — excessive blinking, eyelid spasms/fluttering/squeezing — due to just about any cause, “ranging from dry eyes to Tourette’s syndrome to tardive dyskinesia,” BEBRF reports. For the chemodenervation, you&rsquo...

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