Overview of CPT Code 15835: Removal of Excess Skin from Eyelid

Overview of CPT Code 15835: Removal of Excess Skin from Eyelid

CPT Code 15835 refers to the surgical procedure for the removal of excess skin from the eyelid, often performed to improve vision or for cosmetic reasons.

When CPT Code 15835 is Used?

This procedure is indicated in various clinical scenarios.

• Significant drooping of the eyelids affecting vision.
• Excess skin causing discomfort or irritation.
• Desire for cosmetic improvement of eyelid appearance.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

• Difficulty seeing due to sagging eyelids.
• Frequent eye irritation or discomfort.
• Aesthetic concerns regarding eyelid appearance.

Causes and Risk Factors

Several factors can contribute to the need for eyelid skin removal.

• Aging, leading to loss of skin elasticity.
• Genetic predisposition to droopy eyelids.
• Previous eye surgeries or trauma.

Diagnostic Tests Before Procedure

Certain tests may be conducted to assess the need for the procedure.

• Visual field tests to evaluate vision impairment.
• Ophthalmologic examination to assess eyelid function.

Procedure Description

The procedure involves several key steps.

• Patient is positioned comfortably and anesthesia is administered.
• Excess skin is marked for removal.
• Incisions are made along the natural eyelid crease.
• Excess skin and possibly fat are excised.
• Incisions are closed with sutures.

Preparation for the Procedure

Patients should follow specific guidelines before the surgery.

• Avoid blood thinners and certain medications as advised.
• Arrange for transportation post-procedure.
• Discuss any allergies or medical conditions with the surgeon.

Recovery and Aftercare

Post-operative care is crucial for optimal recovery.

• Expect swelling and bruising for several days.
• Keep the head elevated to reduce swelling.
• Follow up for suture removal as directed.

Possible Complications

As with any surgical procedure, there are potential risks.

• Infection at the incision site.
• Scarring or changes in eyelid sensation.
• Asymmetry in eyelid appearance.

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Post-Procedure Follow-Up

Regular follow-up is essential for monitoring recovery.

• Initial follow-up within a week for suture removal.
• Subsequent visits to assess healing and vision.

Alternative Treatments

There are non-surgical options available.

• Botox injections to temporarily lift the eyelids.
• Dermal fillers to improve eyelid appearance.

Home Care Tips

Patients can take steps to aid their recovery at home.

• Apply cold compresses to reduce swelling.
• Avoid strenuous activities for a few weeks.
• Keep the incision area clean and dry.

Patient Education & Prevention

Understanding the procedure can help in prevention of recurrence.

• Regular eye exams to monitor eyelid changes.
• Healthy lifestyle choices to maintain skin elasticity.

Billing and Coding Information

CPT Code: 15835

Category: Surgery

Common Modifiers:

• 50
• RT
• LT

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $2,000 to $4,000.
• Insurance may cover the procedure if vision is impaired.

Related CPT Codes

• 15836 - Chemical Peel, Face

References and Sources

• American Academy of Ophthalmology
• American Society of Plastic Surgeons