The procedure automatically involves the removal of redundant skin, so the second code applies when the patient has excessive redundant skin. Ms. Jones says one hallmark that indicates a need for CPT 15823 is a superior visual field defect, which should be indicated in the body of the operative report.
Every adoption agency is different and each has its own requirements for accepting or rejecting an adopting family. You need to know and understand these requirements and how they effect you and your ability to adopt a child.
Child Welfare Information Gateway has two publications that help explain the home study process: The Home Study Adoption Process; Home Study Requirements for Prospective Parents in Domestic Adoption, a fact sheet that summarizes state laws and policies regarding what information is collected; Getting agreement among your family members to proceed