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.
Many states require that a specific type of home study be done to adopt children in foster care. The state may have workers that do the home study or they may contract this out to a non-government agency. Contact the local child welfare office in your state to find out if this is the case in your state. Often, a home study done by the state cannot be released to a non-governmental agency and so an additional home study may be required if you plan to change to or also do an international or domestic adoption.