Readers ask: What Is The Cpt Code For Bilateral Blepharoplasty Of Upper Eyelid?

Upper eyelid blepharoplasty (CPT 15822 15823) may be considered medically necessary to correct prosthesis difficulties in an anopthalmia socket. lid) to a normal visual field.

What is bilateral upper lid blepharoplasty?

Upper blepharoplasty is performed to remove excess skin and fat and can improve the field of vision. Double eyelid surgery, also called Asian eyelid surgery, is performed to create or enhance an upper eyelid crease. This type of surgery is performed on Asian people to “westernize” the appearance of the eyelid.

Is 67904 a bilateral code?

Bilateral: Use modifier 50 for CPT codes 15822-15823, 67901-67904, 67906, and 67908 when performed bilaterally. Unilateral: Use modifier E1 (upper left eyelid) or E3 (upper right eyelid) for codes 15822-15823, 67901-67904, 67906, and 67908 when performed unilaterally.

What is the difference between CPT 15822 and 15823?

The first code (CPT 15822) is used for normal blepharoplasties of the upper eyelid, whereas the second code (CPT 15823) is assigned when the patient has excessive skin weighing down the eyelid.

What is a bilateral blepharoplasty?

Eyelid surgery, or blepharoplasty, is a type of surgery that alters the appearance of the upper eyelids, lower eyelids or both. The aim is to improve the appearance of the area surrounding the eyes and to improve vision obscured by drooping eyelids.

Does insurance cover upper blepharoplasty?

Insurance companies do not generally cover the lower eyelid blepharoplasty, but upper blepharoplasty is usually covered if an examination by an ophthalmologist determines that droopiness of the upper eyelid impairs vision.

How do you bill a blepharoplasty?

Cosmetic Blepharoplasty

1. Medicare does not require you to submit cosmetic surgery, such as blepharoplasty, CPT codes 15822-15823.
2. If the patient insists that you file a claim, submit 15822-15823 with modifier -GY.

What modifier would best describe a blepharoplasty to the upper right eyelid?

c. Modifier -E3 describes upper right eyelid.

What is the ICD 10 code for bilateral blepharoplasty of upper eyelid due to ptosis?

H02. 403 – Unspecified ptosis of bilateral eyelids. ICD-10-CM.

What is procedure code 67904?

The Current Procedural Terminology (CPT^®) code 67904 as maintained by American Medical Association, is a medical procedural code under the range – Repair (Brow Ptosis, Blepharoptosis, Lid Retraction, Ectropion, Entropion) Procedures on the Eyelids.

What is the CPT code 15822 50?

CPT® Code 15822 in section: Blepharoplasty, upper eyelid.

What is the CPT code 15823?

CPT® 15823 in section: Blepharoplasty, upper eyelid.

Does UHC cover blepharoplasty?

Coverage Limitations and Exclusions UnitedHealthcare excludes Cosmetic Procedures from coverage including but not limited to the following: Procedures that correct an anatomical congenital anomaly without improving or restoring physiologic function are considered cosmetic procedures.

Can 15823 and 67904 be billed together?

The code pair set for blepharoplasty (CPT code 15823) and external approach blepharoptosis repair (CPT code 67904) is a mutually exclusive bundle. If you bill them both together you will be paid for the lowest paying code — the ptosis repair.

What is the CPT code for blepharoplasty of the left lower eyelid?

Lower eyelid blepharoplasty (CPT 15820, 15821 ) Lower eyelid blepharoplasty to remove excess skin, fatty tissue, or both, is considered not medically necessary in the absence of the medical condition of ectropion, entropion, or other functional visual impairment.