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Outpatient Facility Coding Alert

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Coding for Blepharoptosis

Question: Our ophthalmologist performed a blepharoptosis repair using the frontalis muscle technique. He started with the external approach, but his visualization was limited using that approach, so he then changed his technique and used an internal approach instead. We reported both 67903 and 67904 and appended modifier 59 to 67904, but the insurer denied the charge for 67904. According to the [...]