Skip to main content
  • When performing external ocular photography of patients prior to upper lid blepharoplasties, must the picture itself be tagged by patient name, chart number and date of service?


    Question: When performing external ocular photography of patients prior to upper lid blepharoplasties, must the picture itself be tagged by patient name, chart number and date of service?

    Answer: Yes!  An audit revealed the outcome of not complying to the documentation rules.
    • Auditor rejected blepharoplasty surgery as photos were not allowed and this is required for medical necessity.
    • The audit then increased their review of 5 more cases with similar findings and extrapolated a recoupment fee for the last twelve months.
    • Ocular photography recoupment request: $552.75
    • Surgery recoupment request: $19,683.50