tci Outpatient Facility Coding Alert - 2015 Issue 1

Blepharoplasty: Go Through These FAQs Before Submitting Your Next Eyelid Procedure Claim

Hint: You must understand which codes are interchangeable. Coding for eyelid procedures can be so tricky that even the most experienced coders have questions about clean claims and reimbursement. Read on for our expert answers to four frequently asked questions. Q: What determines whether blepharoplasty procedures are cosmetic? A: It depends on the procedure and the patient’s main complaint. Procedures to remove excess skin and fat from the eyelids are frequently done due to medical necessity — but to support medical necessity and convince insurers, you need to submit the correct codes and airtight documentation. For blepharoplasty procedures...

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