cpt code for canthoplasty

Published by on November 13, 2020

If performed incorrectly the results can be disastrous. American Medical Association (AMA), Current Procedural Terminology (CPT®), Current Edition 2. Canthoplasty is as aesthetic or functional procedure to reconstruct or reshape the lateral canthus (outer corner of the eye). H02.109 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This is the American ICD-10-CM version of H02.109 - other international versions of ICD-10 H02.109 may differ. This oculoplastic surgery should only be performed by surgeons with significant experience with oculoplastic surgery. This procedure may be medically necessary where drooping of the outer corner of the eyelid interferes with vision. Only the ectropion repair is eligible for reimbursement. 1. “Canthopexy” is different than canthoplasty. Canthoplasty, also known as inferior retinacular suspension or lateral retinacular suspension, involves tightening the muscles or ligaments that provide support to the outer corner of the eyelid. Surgery: Diagnosis Procedure Code(s) Modifiers 1) 1, 2 67975 Reconstruction of right lower -58-E4 or -RT eyelid,full-thickness by transfer of tarso-conjunctival flap from opposing eyelid; second stage 2) 1, 2 67950 Canthoplasty (reconstruction of -51-59-RT canthus), right side 3. The 2021 edition of ICD-10-CM H02.109 became effective on October 1, 2020. Noridian Healthcare Solutions, LLC Local Coverage Determination L34194 Blepharoplasty, For example, canthoplasty (CPT code 67950) is considered to be a part of, or bundled with, extensive repair of ectropion (CPT code 67917). Information about the SNOMED CT code 74688006 representing Canthoplasty. Wisconsin Physicians Service Insurance Corporation Local Coverage Determination L34528 Blepharoplasty, Kansas, Effective 10/1/2017 3. Lid Load (e.g., gold weight) (CPT code 67912)] Guideline 7 [Canthopexy (CPT codes 21280 and 21282)] • Replaced reference to “states with no LCDs/LCAs” with “states /territories with Balance billing the patient for the canthoplasty is a violation of your Medicare participation agreement.

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