CMS has revised the July 2016 policy for same-day, same-eyelid blepharoplasty and ptosis surgery.
The new policy, which went into effect Oct. 1, 2017, allows surgeons to bill patients for a cosmetic blepharoplasty surgery if it is performed on the same eyelid and on the same day as functional or medically necessary ptosis surgery. Long-standing Medicare National Correct Coding Initiative (NCCI) edits bundle upper lid blepharoplasty (CPT 15823) and ptosis surgery (CPT 67901, 67902 and 67904); those edits remain in effect but only apply to medically necessary, covered procedures. The (Read more...)
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