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GRANULAR TISSUE GROWTH OVER PUNCTA

Donna Posted Wed 19th of February, 2014 17:26:03 PM

Patient developed granulation over punctum that had been plugged with Oasys plug. The Dr removed it with a spud. What procedure and diagnosis would be appropriated

SuperCoder Answered Thu 20th of February, 2014 16:55:21 PM

Unfortunately, there isn't a direct procedure or diagnosis code for that scenario. For best fit, I would try either:

Procedure Code 67840 - Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure.
ICD-9 375.81 – Lacrimal Passages, Granuloma

or

Procedure Code 68530 - Removal of foreign body or dacryolith, lacrimal passages.
ICD9 930.2 – Foreign Body in lacrimal punctum

Donna Posted Wed 05th of March, 2014 17:33:31 PM

I ended up using 67840. Thanks

SuperCoder Answered Wed 05th of March, 2014 17:37:00 PM

You are welcome!

Donna Posted Thu 06th of March, 2014 09:47:15 AM

I just noticed that Dx is not acceptable for that procedure. I had to use 372.61 with the 375.81

SuperCoder Answered Thu 06th of March, 2014 16:24:31 PM

Thanks.

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