Types of Ptosis, or Droopy Eyelids
The major ptosis symptoms include:
611.81 is a legacy non-billable code used to specify a medical diagnosis of ptosis of breast. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:
Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges (fluids that are not breast milk).
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
743.61 is a legacy non-billable code used to specify a medical diagnosis of congenital ptosis. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
References found for the code 743.61 in the Index of Diseases and Injuries:
General Equivalence Map Definitions The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Title XVIII of the Social Security Act, §1862 (a) (1) (A) allows coverage and payment for only those services that are considered to be medically reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.
The following coding and billing guidance is to be used with its associated Local coverage determination.
It is the responsibility of the physician/provider to code to the highest level specified in the ICD-10-CM (e.g., to the third or seventh character). The correct use of an ICD-10-CM code listed below does not assure coverage of a service.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.