• Possible Foreign Body Removal During Blepharoplasty Surgery


    We had one of our surgeons perform an exploration of the medial upper lid for possible foreign body during a blepharoplasty procedure. There was no foreign body but excessive scar tissue. She debulked and biopsied the scar tissue and sent it to pathology.

    Answer:

    There is no defined CPT for scar tissue exploration of the eyelid. As this was performed during blepharoplasty no additional code would be billed. 
    Submit either: 
    15822 — Blepharoplasty, upper eyelid
    or
    15823 — Blepharoplasty, upper eyelid; with excessive skin weighting down lid.
    You can submit the biopsy with CPT code 67810 — Incisional biopsy of eyelid skin including lid margin but should wait and attach the diagnosis from the pathology results.