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Ophthalmology and Optometry Coding Alert

CCI 8.3 Bundles Barely Budge Ophthalmology Coding Practice

Published on Fri Nov 01, 2002

According to the CCI 8.3 edits, all eye and ocular adnexa procedures in the 60000 series excluding the unlisted-procedure codes (66999, 67399, 67599, 67999, 68399 and 68899), the strabismus surgery add-on codes (67320, 67332, 67334 and 67335), and four procedures of the cornea (65760, 65765, 65767 and 65771) now include the following:

  • 90780 Intravenous infusion for therapy/diagnosis, administered by physician or under direct supervision of physician; up to one hour

  • 36000* Introduction of needle or intracatheter, vein
  • 36410* Venipuncture, child over age 3 years or adult, necessitating physician's skill (separate procedure), for diagnostic or therapeutic purposes. Not to be used for routine venipuncture

  • 37202 Transcatheter therapy, infusion other than for thrombolysis, any type (e.g., spasmolytic, vasocon-strictive)

  • 62318 Injection, including catheter placement, continuous infusion or intermittent bolus, not including neurolytic substances, with or without contrast (for either localization or epidurography), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), epidural or subarachnoid; cervical or thoracic

  • 62319 lumbar, sacral (caudal)

  • 64415* Injection, anesthetic agent; brachial plexus

  • 64417 axillary nerve

  • 64450* other peripheral nerve or branch

  • 64470 Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; cervical or thoracic, single level

  • 64475 lumbar or sacral, single level.

    Due to these edits' CCI status indicator of 1, they may be unbundled with modifier -59 (Distinct procedural service) under the appropriate circumstances and when the requirements for unbundling are met.

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