Code		Description	Old Price	New Price	Allowable
10060		I&D of Abscess	$88.00		$69.51
10061		I&D Abscess Complicated/Multi	$126.00		$107.17
10140		Incision & Drainage	$120.00		$99.64
10180		I & D Complex	$1,200.00		$1,010.80
11000		Biopsy of Skin Single Lesion	$60.00		$31.16
11042		Debridement/Skin/Sub Tissue	$180.00		$153.98
11043		Debridement/Subcutaneous Tissue	$273.00		$241.87
11100		Biopsy of Skin	$83.00		$71.22
11401		EXC B9 LES MRGN XCP SK TG T/A/L 0.6-1.0 CM	$113.00		$95.87
11403		EXC B9 LES MRGN XCP SK TG T/A/L 2.1-3.0 CM/>	$137.00		$114.70
11404		EXC B9 LES MRGN XCP SK TG T/A/L 3.1-4.0 CM	$600.00		$516.33
11406		EXC B9 LES MRGN XCP SK TG T/A/L > 4.0 CM	$843.00		$516.33
11424		EXC B9 LES MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM	$843.00		$516.33
11426		EXC B9 LES MRGN XCP SK TG S/N/H/F/G > 4.0CM	$1,140.00		$1,010.80
11441		EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM	$126.00		$104.43
11442		EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM	$128.00		$114.02
11443		EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM	$152.00		$126.00
11444		EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM	$600.00		$516.33
11446		EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M > 4.0CM	$1,140.00		$1,010.80
11600		EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	$145.00		$124.97
11622		EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM	$180.00		$155.79
11624		EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM	$843.00		$516.33
11626		EXCISION MALIGNANT LESION S/N/H/F/G > 4.0 CM	$1,140.00		$1,010.80
11641		EXCISION MALIGNANT LES F/E/E/N/L 0.6-1.0 CM	$174.00		$146.89
11642		EXCISION MALIGNANT LES F/E/E/N/L 1.1-2.0 CM	$191.00		$161.61
11643		EXCISION MALIGNANT LES F/E/E/N/L 2.1-3.0 CM/>	$200.00		$177.02
11644		EXCISION MALIGNANT LES F/E/E/N/L 3.1-4.0 CM	$600.00		$516.33
11646		EXCISION MALIGNANT LESION F/E/E/N/L > 4.0 CM	$1,175.00		$1,010.80
11900		Intralesional Injection Up To 7	$63.00		$0.00
11901		Intralesional Inj Over 7	$81.00		$0.00
12001		Simple Repr Sprfcl Wound 2.5cm	$55.00		$0.00
12004		Simple Repr Sprfcl Wound 7.6cm	$55.00		$0.00
12005		Simple Repr Sprfcl Wound 12.6cm – 20.0cm	$180.00		$153.98
12011		Repair Laceration 25cm or Less	$55.00		$0.00
12013		Repair Laceration 26 to 50cm	$55.00		$0.00
12014		Repair Laceration 51-75cm	$55.00		$0.00
12037		REPAIR INTERMEDIATE S/A/T/E > 30.0 CM	$1,545.00		$777.07
12052		REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-53.0 CM/>	$180.00		$153.98
13121		REPAIR COMPLEX SCALP/ARM/LEG 2.6 CM-7.5 CM	$270.00		$241.87
13132		REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6 CM-7.5 CM	$270.00		$241.87
13151		REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM	$270.00		$241.87
13152		REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM	$270.00		$241.87
13160		Surgical Wound Dehiscence	$1,362.00		$777.07
14000		ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 CM/<	$860.00		$777.07
14001		ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM	$860.00		$777.07
14020		ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/<	$860.00		$777.07
14021		ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM	$860.00		$777.07
14040		ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<	$860.00		$777.07
14041		ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM	$860.00		$777.07
14060		ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/<	$860.00		$777.07
14061		ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM	$860.00		$777.07
14301		Adj Tissue Trans 30.1-60cm	$1,600.00		$1,342.90
14302		ADD’lt Adj Tissue Trans 30 sq cm	$1,001.00		$0.00
15002		Wnd Prep 1st 100sq CM or 1%	$898.00		$777.07
15004		Escisional Prep For Graft	$258.00		$241.87
15220		FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM/<	$866.00		$777.07
15221		FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM<	$300.00
15240		FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/<	$885.00		$777.07
15260		FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/<	$860.00		$777.07
15730		MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES	$1,610.00		$1,342.90
15731		FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE	$1,610.00		$1,342.90
15732		MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP HEAD&NCK	$1,362.00		$1,288.24
15733		MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL	$1,610.00		$1,342.90
15740		FLAP ISLAND PEDICLE	$860.00		$777.07
15760		GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA	$1,362.00		$777.07
15770		GRAFT DERMA-FAT-FASCIA	$1,600.00		$1,342.90
15821		BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD	$1,362.00		$777.07
15823		BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN	$862.00		$777.07
15824		RHYTIDECTOMY FOREHEAD	$1,362.00		$777.07
15825		RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING	$1,362.00		$1,342.90
15826		RHYTIDECTOMY GLABELLAR FROWN LINES	$898.00		$1,342.90
15828		RHYTIDECTOMY CHEEK CHIN&NECK	$1,300.00		$1,342.90
15850		REMOVAL SUTURES UNDER ANESTHESIA SAME SURGEON	$300.00		$241.87
17000		Destruct Benigh/Premalig Les	$88.00
17106		Destruct Cutaneous Vasc Lesion	$224.00		$153.98

What are Cataracts?

A cataract is a loss of transparency, or clouding, of the normally clear lens of the eye. As one ages, chemical changes occur in the lens that make it less transparent. The loss of transparency may be so mild vision is hardly affected or so severe that no shapes or movements are seen, only light and dark. When the lens gets cloudy enough to obstruct vision to any significant degree, it is called a cataract. There are over 1 million Cataract operations performed annually in the USA. Cataract surgery is an outpatient procedure with a very high success rate. Due to the lack of modern medical technology in the developing world, it is also the world’s leading cause of blindness. Over 16 million people are blind from cataracts.

Cataract Surgery

In cataract surgery, the cloudy natural lens is removed from the eye. In most cases, the focusing power of the natural lens is restored by replacing it with a permanent intraocular lens (IOL) implant. When to have cataract surgery often is a subjective decision, based on how well you are able to see while engaging in routine activities. You might be able to drive, watch television and work at a computer for quite a few years, even after you are first diagnosed with cataracts. However, if you have cataracts, you may eventually start to notice “ghost” images and declining visual clarity, which can’t be corrected with glasses or contacts. Colors may also begin to look faded. If your functional vision is impaired significantly and it becomes difficult for you to visually perform your normal daily activities, it may be time for cataract surgery.

To find out more about our Cataract Services, call 407-933-7800 to schedule your consultation.

Glaucoma is the second leading cause of vision loss. Sometimes called the silent thief of sight, glaucoma can damage your vision so gradually you don’t notice any loss of vision until the disease is at an advanced stage.

Because most people with glaucoma have no early symptoms or pain from the increased intraocular pressure, it is important to have regular routine eye exams so that glaucoma can be diagnosed and treated before long-term visual loss occurs.

Laser Surgery

Laser surgery treatments may be effective for different types of glaucoma. The laser is usually used in one of two ways. In open-angle glaucoma, the drain itself is treated. The laser is used to enlarge the drain (trabeculoplasty) to help control eye pressure. In angle-closure glaucoma, the laser creates a hole in the iris (iridotomy) to improve the flow of aqueous fluid to the drain.

Operative surgery

When operative surgery is needed to control glaucoma, Dr. Cartwright uses miniature instruments to create a new drainage channel for the aqueous fluid to leave the eye. The new channel helps to lower the pressure. Though serious complications of modern glaucoma surgery are rare, they can occur, as with any surgery. Surgery is recommended only if your Dr. Cartwright feels that it is safer to operate than to allow optic nerve damage to continue.

Glaucoma cannot be cured, but it can be controlled. Eye drops (http://eyemag.in/qnCT3P ), pills, laser procedures (http://eyemag.in/DIUJTa ), and surgical operations (http://eyemag.in/q7x67w , http://eyemag.in/5xZ1dK ) are used to prevent or slow further damage from occurring. Treatment for glaucoma requires teamwork between patient and the doctor. Patients should never stop taking or change medications without first consulting with Dr. Cartwright. Frequent eye examinations and tests are critical to monitor your eyes for any changes.
What should I ask my eye care professional?
About my eye disease or disorder…
• What is my diagnosis?
• What caused my condition?
• Can my condition be treated?
• How will this condition affect my vision now and in the future?
• Should I watch for any particular symptoms and notify you if they occur?
• Should I make any lifestyle changes?
About my treatment…
• What is the treatment for my condition?
• When will the treatment start and how long will it last?
• What are the benefits of this treatment and how successful is it?
• What are the risks and side effects associated with this treatment?
• Are there foods, medicines, or activities I should avoid while I’m on this treatment?
• If my treatment includes taking medicine, what should I do if I miss a dose?
• Are other treatments available?
About my tests…
• What kinds of tests will I have?
• What can I expect to find out from these tests?
• When will I know the results?
• Do I have to do anything special to prepare for any of the tests?
• Do these tests have any side effects or risks?
• Will I need more tests later?
Other suggestions
• If you don’t understand your eye care professional’s responses, ask questions until you do understand.
• Take notes or get a friend or family member to take notes for you. Or, bring a tape recorder to help you remember the discussion.
• Ask your eye care professional to write down his or her instructions to you.
• Ask your eye care professional for printed material about your condition.
• If you still have trouble understanding your eye care professional’s answers, ask where you can go for more information.
• Other members of your healthcare team, such as nurses and pharmacists, can be good sources of information. Talk to them, too.

Regular eye examinations by your ophthalmologist are the best way to detect glaucoma. Glaucoma is detected through a comprehensive eye exam.Tests (http://eyemag.in/kj5BUA) performed to detect glaucoma vary for each person, and might need to be repeated on a regular basis. Dr. Cartwright might order following tests to determine if glaucoma is present:
• Tonometry – measuring your intraocular pressure
• Gonioscopy – inspecting the drainage angle of your eye
• Ophthalmoscopy – evaluate any optic nerve damage
• Perimetry – test the visual field of each eye
Regular exams by Dr. Cartwright are the best way to detect glaucoma. Recommended intervals for eye exams are:
• before age 40 – every 2 to 4 years
• from age 40 to age 54 – every 1 to 3 years
• from age 55 to 64 – every 1 to 2 years
• after age 65 – every 6 to 12 months
Anyone with high risk factors should be tested every year or two after age 35.