tci Part B Insider - 2014 Issue 45

Part B Coding Coach: 5 Expert Answers Help Clarify Your Top Eye Coding Questions

Read these frequently asked questions before coding your next eyelid procedure claim. Coding for eyelid procedures can be tricky, and even the most experienced coders have questions about clean claims and reimbursement. Read on for our expert answers to your 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...

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