tci Medicare Compliance & Reimbursement - 2012 Issue 1

Reader Question: 67912 Includes Supply Charge

Question: How would I code for insertion of gold eyelid weights to correct lagophthalmos? Is there a code for the supply of the gold weights themselves? Answer: Report CPT® code 67912 (Correction of lagophthalmos, with implantation of upper eyelid lid load [e.g., gold weight]) for the insertion of the gold eyelid weights. Ophthalmologists sometimes weigh down a patient's upper eyelids to correct lagophthalmos, which is the inability to close the eye completely. Untreated, the condition could lead to abrasions, infections and corneal drying. When Medicare developed the new code for this procedure in 2004, the expectation was that...

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