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Ophthalmology and Optometry Coding Alert

CCI 17.1:

65756 Update: Include Injections in DLEK, DSEK Coding

Published on Fri Apr 01, 2011

Virtually all of the nerve block injection codes are now bundled into endothelial keratoplasty.Is your ophthalmology practice in the habit of billing for anesthesia injections along with endothelial keratoplasty (EK) procedures? Effective April 1, 2011, you'd better think before you code, according to version 17.1 of the Correct Coding Initiative (CCI).Non-mutually exclusive edits apply to services that a physician might perform during the same care session but that aren't billable together. This is because one of the codes (the Column 2 or component code) is included in the services represented by the Column 1 (comprehensive) code of the pairing. You can bill individual components if the physician does not perform the entire comprehensive procedure.But if the physician performs the entire (comprehensive) procedure, you are required to bill the comprehensive code instead of the individual parts or components, says Maggie Mac, CPC, CEMC, CHC, CMM, ICCE, Director of Network Oversight for [...]
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