Ophthalmology and Optometry Coding Alert
CCI 9.0 Blocks Out Billing for 64416 and 64402
Ophthalmology coders glide through the latest Correct Coding Initiative edits and into the new year with only a handful of new bundles to reckon with. Here's the rundown. The CCI edits effective Jan. 1 through March 31 have bundled two nerve block codes 64416 and 64402 into the overwhelming majority of eye and ocular adnexa surgical procedures. 64416 (Injection, anesthetic agent; brachial plexus continuous infusion by catheter [including catheter placement] including daily management for anesthetic agent administration), a new code in 2003, is now considered included in all ophthalmologic surgical procedures except the following:
As of Jan. 1, you can no longer use 64402* (Injection, anesthetic agent; facial nerve) and expect it to be reimbursed separately from 67415, 67500-67570, 67700-67975, 68020-68362 and 68400-68850. In other edits, 67500* (Retrobulbar injection; medication [separate procedure, does not include supply of medication]) has been bundled into 10 new 2003 CPT anesthesia codes:
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