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[Expert Solution]: OPERATIVE NOTE #2: Preop Diagnosis:…

OPERATIVE NOTE #2: Preop Diagnosis: Dermatochalasis of bilateral upper eyelids. Postoperative Diagnosis: Same. Patient had excessive tissue weighing both eyelids in a downward fashion. Procedure Performed: Upper eyelid blepharoplasty. Patient was brought to the operating room and placed on the operating table in supine position. After adequate intravenous sedation had been obtained, the patient’s upper eyelids were marked for incision, and infiltrated with 5cc of 0.5% lidocaine mixed with 1:300,000 epinephrine in each lid. The patient’s face and head were prepped and draped in the standard operative fashion. The previously marked bilateral upper eyelids were incised through the skin and the orbicularis muscle using #15 blade. The marked segment was excised sharply with adequate tension on the operative field. The excision was carried down through the muscle, and the fat layer was easily visible. This procedure was repeated identically on the opposite lid. Next, the middle fat pad , which was readily identifiable, was gently teased out with a concave applicator and forceps and the pad was removed with the Bovie coagulator. Next, the medial fat pad was also dissected out using gentle blunt dissection. The fat pad was retracted into the field and removed using the electrocautery. The procedure was repeated identically on the opposite lid. The operative field was then examined for hemostasis. The electrocautery was used to dry up any small bleeders. The wound was closed in a single layer using interrupted #6-0 Ethibond sutures. The wounds were dressed with Bacitracin and iced moist gauze, and the patient was transferred to the recovery area in stable condition. What is the correct CPT code?

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