tci Part B Insider - 2019 Issue 2

Part B Coding Coach: Master Oculoplastic Coding with 3 FAQs

Hint: Not all plastic surgeries are considered cosmetic. Recouping payment for surgeries that could be considered cosmetic can be tough if you code them incorrectly. To help guide your oculoplastic surgery claims, check out the following three frequently-asked questions, along with answers to help you on your way. Mind the CCI Edits Question: Can we report blepharoplasty (15823) with repair of blepharoptosis (67908)? Answer: Not in most cases — payers will typically deny 15823 (Blepharoplasty, upper eyelid; with excessive skin weighting down lid), because CCI bundles it into 67908 (Repair of blepharoptosis; conjunctivo-tarso-Muller’s muscle-levator resection [e.g., Fasanella-Servat...

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