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Ophthalmology and Optometry Coding Alert

FBR:

Are These 5 Myths Fouling Up Your FBR Claims?

Published on Sun May 23, 2010

Hint: Don't treat punctal plugs like foreign bodies.Even more irritating than having something stuck in your eye is having Medicare deny a claim for what you thought was a runof- the-mill foreign-body removal. Is one of these FBR myths keeping you from getting reimbursed for 65205-65222?Myth #1: The type of instrument you use determines what foreign-body removal code to report.Reality: The codes in the FBR code series (65205-65222) do not indicate any particular instrument for removing the FB. However, CPT code 65222 (Removal of foreign body, external eye; corneal, with slit lamp) does indicate the equipment used to enhance viewing of the affected area, notes Maggie M. Mac, CPC, CEMC, CHC, CMM, ICCE, director of Best Practices- Network Operations at Mount Sinai Hospital in New York City.You should choose a code according to the specific location and level of penetration of the FB in the eye.For example, for the removal [...]
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