tci Outpatient Facility Coding Alert - 2012 Issue 8

Reader Question: Report Levator Resection Before Blepharoplasty

Question:The oculoplastic surgeon performed a levator resection and blepharoplasty on both upper eyelids of the patient during the same surgical session. Can I report both the procedures (15823 and 67904), or are they considered bundled? If I can report both, which code should I list as the primary procedure? Maine Subscriber Answer: You might be able to report both services, depending on the situation. For example, if the surgeon performs the blepharoplasty (bleph) with excessive weight repair on the other eye, you may be able to report both codes. Submit 15823 (Blepharoplasty, upper eyelid; with excessive skin weighting down...

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