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 or homestudy is  a screening of the home and life of prospective adoptive parents prior to allowing an adoption to take place. In some places, and in all international adoptions, a home study is required by law. Even where it is not legally mandated, it may be required by an adoption agency. Depending on the location and agency, different information may be sought during a home study.