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July 8, 2026
by John Gwin

Blepharoplasty Is Cosmetic by Default — the Visual Field Test Flips It

Functional blepharoplasty (CPT 15823) is covered only when excess eyelid skin blocks vision — and the visual field test, not the photo, is what proves it.

July 8, 2026
by John Gwin

Your 2026 EMR Shortlist: What’s New and How to Pick What’s Best for You

What’s new in plastic surgery and dermatology EMRs for 2026 — Nextech, ModMed, Symplast, EZDERM, and more — and how to pick the best fit for your practice.

July 7, 2026
by John Gwin

Why Lipedema Surgery Gets Denied as Cosmetic

Lipedema liposuction (CPT 15877-15879) uses the same codes as cosmetic lipo, so payers deny by default. The documentation that actually gets it covered.

July 4, 2026
by John Gwin

Therapeutic Botox Pays — If the J0585 Units and Wastage Are Right

Therapeutic Botox (J0585 + 64615) is covered for chronic migraine and more — but the unit count, JW/JZ wastage, and failed-preventive gate decide the claim.

July 1, 2026
by John Gwin

A Benign Lesion Removal Pays on the Diagnosis, Not the Procedure

Benign lesion removal (CPT 17110, 11400-11446) is covered only when symptomatic — and the ICD-10 diagnosis, not the procedure, decides whether it pays.

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