A 65-year-old male with severe droopy upper eyelids that also have severe spider veins along with skin plaques presents to the ambulatory surgery center for a non-cosmetic blepharoplasty of his upper eyelids. The diagnosis was pseudoptosis causing visual impairment along with a severe case of acne rosacea. Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

15823-50, H02.31, H02.34, H53.453, L71.8The correct CPT code for a non-cosmetic blepharoplasty of the upper eyelids with severe droopy eyelids (pseudoptosis) causing visual impairment is 15823, and the modifier -50 is used for bilateral procedures. The ICD-10-CM codes correctly identify the conditions: H02.31 for ptosis of eyelid, H02.34 for other ptosis of eyelid, H53.453 for visual impairment, and L71.8 for other rosacea, which includes severe cases of acne rosacea.

A 65-Year-Old Male with Severe Droopy Upper Eyelids That Also