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Tarsorrhaphy and removal

Hilde Posted Mon 22nd of July, 2013 20:38:13 PM

Could you help me distinguish the different types of tarsorrhaphy procedures - temporary (67875) and permanent (67880)?

Also, could you tell me if removal of tarsorrhaphy (67710) is appropriate for removal of both temporary and permanent, or only permanent, tarsorrhaphies?

SuperCoder Answered Tue 23rd of July, 2013 20:01:02 PM

In 67710 there is no distinguish between temporary and permanent. Under anesthesia sutures or stitches placed earlier are cut and removed. In tarsorrhaphy, stitches or sutures are carefully placed at the corners of the eyelid opening to narrow it. This helps the eye with better lubrication and less air exposure.The 67710 is for cutting the sutures and allowing the eyelids to reopen.

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In 67880 median tarsorrhaphy adhesions are created in between upper and lower lid margins to protect the cornea where as in canthorrhaphy adhesions are created at the canthus of eye. The procedure begins after a small skin excision from both upper and lower eyelids by creating skin incisions near to eyelashes. Suturing is done either in lid margins or in canthus.

In 67875 the physician places a ProKera membrane but doesn’t suture it. Instead he performs temporary closure of the eyelids by suture

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