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.
A home study is necessary to adopt a child in every state, but the specific requirements depend on your state and on what kind of adoption you are planning. In Washington, to adopt the child of your spouse, only a limited home study is required. But for all other adoptions, a more complete home study is necessary.