Basal cell carcinoma of skin of left lower eyelid, including canthus 2019 - New Code 2020 2021 Billable/Specific Code C44.1192 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Basal cell carcinoma skin/ left lower eyelid, inc canthus
Basal cell carcinoma of skin of left lower eyelid, including canthus. ICD-10-CM C44.1192 is a new 2019 ICD-10-CM code that became effective on October 1, 2018. This is the American ICD-10-CM version of C44.1192 - other international versions of ICD-10 C44.1192 may differ.
Short description: Basal cell carcinoma skin/ left eyelid, including canthus The 2020 edition of ICD-10-CM C44.119 became effective on October 1, 2019. This is the American ICD-10-CM version of C44.119 - other international versions of ICD-10 C44.119 may differ.
This provided moderate elevation of the eyelid. What CPT® code is reported? 67904-E1 Rationale: In the CPT® Index look for Blepharoptosis/Repair/Tarso Levator Resection/ Advancement/External Approach. You are referred to 67904. Review the code in the numeric section to verify accuracy.
A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.
The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. Primary malignant neoplasms overlapping site boundaries.
Rationale: This is a repair of blepharoptosis. In the CPT® Index, look for Blepharoptosis/Repair directs you to code range 67901-67909. The codes are selected based on the approach and technique. After verifying in the numeric section, code 67908 is the correct code.
Rationale: In the CPT® Index look for Chemodenervation/Facial Muscle 64612, 64615. Code 64612 is used for chemodenervation of muscles that are innervated by the facial nerve for conditions such as blepharospasm. Modifier RT is appended to the CPT® code to indicate the procedure is performed on the right eye. Botulinum toxin is the substance most commonly used for chemodenervation of muscle tissue innervated by the facial nerve. In the ICD-10-CM Alphabetic Index look for Blepharospasm directs you to G24.5. Verification in the Tabular List confirms code selection.
Rationale: Look in the ICD-10-CM Alphabetic Index for Otitis/media/suppurative which directs you to H66.4-. In the Tabular List a 5 th character is required to identify the laterality.
Rationale: In the CPT® Index look for Hearing Aid/Implants/Bone Conduction/Implantation. You are referred to 69710. Review the code to verify accuracy. In the ICD-10-CM Alphabetical Index look for Loss (of)/hearing which states see also Deafness. Look for Deafness/mixed conductive and sensorineural/unilateral. You are referred to H90.7-. Review the code in the Tabular List to verify accuracy and 5 th character 1 is for right ear.
Rationale: Code 67312 represents strabismus surgery on two (2) horizontal muscles. In the CPT® Index look for Strabismus/Repair/Two Horizontal Muscles. In the numeric section below code 67316, there is a parenthetical note with instructions to use code 67335 in addition to codes 67311-67334 when adjustable sutures are used for primary procedure reflecting number of muscles operated on. Code 67335 is an add-on code and exempt from multiple procedures modifier 51. This is located in the CPT® Index by looking for Strabismus/Repair/Adjustable Sutures.
Rationale: In the CPT® Index look for Iridotomy/by Laser Surgery directing you to 66761. Code 66761 describes the use of laser surgery to perform an iridotomy for glaucoma. Modifier 50 would be used to identify the procedure is performed on both eyes. In ICD-10-CM Alphabetic Index look for Glaucoma/angle-closure (primary)/chronic directs you to code H40.22- . The 6 thcharacter is 3 to indicate both eyes. The 7 th character 2 to indicate the stage, moderate. Verify code selection in the Tabular List.
Rationale: In the CPT® Index look for Tympanostomy/General Anesthesia directing you to 69436 , then verify the code in the numeric section. Code 69436 is the correct code to report because a small incision is made in the tympanum, the fluid in the middle ear is suctioned, and an insertion of a small ventilating tube is placed into the opening of the tympanum under general anesthesia. Modifier RT is appended to indicate the side of the body the procedure was performed. In the ICD-10-CM Alphabetical Index look for Otitis/media/chronic/serous which states see Otitis, media, nonsuppurative, chronic, serous. Look for Otitis/media/nonsuppurative/chronic/serous directing you to H65.2. The Tabular List indicates a 5th character is needed to show laterality. 5 th character 1 is for the right ear.
RATIONALE: Without more specific information for the type of hearing loss, a nonspecific diagnosis is reported. In the ICD-10-CM Alphabetic Index, look for Loss/hearing (see also Deafness). Look for Deafness directing you to H91.9-. In the Tabular List, select code H91.90 Unspecified hearing loss, unspecified ear. No scientific study of the hearing loss was made, making R94.120 incorrect.
The ophthalmologist performs a review of history, external exam, ophthalmoscopy, biomicroscopy and tonometry on an established patient with a new cataract. What CPT® code is reported for this procedure?
RATIONALE: In the ICD-10-CM Alphabetic Index look for Neuroma/acoustic (nerve) D33.3. Although an acoustic neuroma is indexed to D33.3, the question indicates malignant which changes the way the diagnosis is reported. A note at the beginning of the Table of Neoplasms discusses classifications in the columns of the table, and advises, "the guidance in the index can be overridden if one of the descriptors is present." Because the pathologist stated this particular acoustic neuroma is malignant, the word malignant overrides the index entry. Look in the Table of Neoplasms for Neoplasm, neoplastic/acoustic nerve/Malignant Primary which directs you to C72.4-. Verify in the Tabular List and code C72.40 is reported because the laterality is not addressed. It's very important to study and understand the information provided in the guidelines and notes within the codebook. Be willing to look beyond the codes for the answers because the answers may be in the instructional notes and guidelines.
RATIONALE: In the CPT® Index, look for Strabismus/Repair/Superior Oblique Muscle 67318. Code 67318 is the only code listed describing a procedure on the superior oblique muscle. In addition to 67318, report add-on codes for adjustable sutures. In the index, see Strabismus/Repair/Adjustable Sutures 67335. This patient has a history of ophthalmic surgery . The medical history of ocular surgery makes the procedure riskier and more difficult. Look in the index for Strabismus/Repair/Previous Surgery, Not Involving Extraocular Muscles 673331. Modifier 51 never is applied to add-on codes.
RATIONALE: In the CPT® Index, look for Ophthalmology, Diagnostic/Eye Exam/Established Patient referring you to 92012-92014. A comprehensive exam includes a biomicroscopy and tonometery. Code 92002 is reported for a new patient and 92012 for an existing patient. This service is for an existing patient, making 92012 the correct code. Documentation does not support E/M service 99212.