Ophthalmology and Optometry Coding Alert
Blepharoplasty and Blepharoptosis
California Subscriber
Answer: CMS has left this decision up to local carriers. Some have established a local medical review policy (LMRP) that addresses such billing. These generally have criteria for preoperative workups that demonstrate that the patient has laxity in the muscle that requires revision. Those that have not established an LMRP will usually deny 15823 (Blepharoplasty, upper eyelid; with excessive skin weighting down lid), which they consider a bundle with 67908 (Repair of blepharoptosis; conjunctivo-tarso-Mullers muscle-levator resection [e.g., Fasanella-Servat type]). CMS allows local carriers to have bundles that do not exist in the national Correct Coding Initiative, which does not bundle 15823 and 67908.
Ophthalmology and Optometry Coding Alert
- Report Multiple Retinopathy Treatments Based on Location, Type, Time
Patients with diabetic retinopathy (DR) may require a series of laser treatments, predominantly with 67210 [...] - You Be the Coder:
Dx for Disappearing Crossed Eyes
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Document Medical Necessity to Bill Angiography Bilaterally
Angiography can be performed on one or both eyes. Whether it can be coded bilaterally, [...] - Reader Question:
Visual Fields: Interpretation and Test
Question: How should I bill for an interpretation of visual fields and performing the procedure?
Washington [...] - Reader Question:
Billing for LASIK
Question: For laser-assisted in situ keratomileusis (LASIK) surgery, should we use 65760 or the unlisted-procedure [...] - Reader Question:
Dx for Benign Lesion
Question: Which diagnosis codes should I use for removal of a benign lesion?
California Subscriber
Answer: [...] - Reader Question:
Postsurgery CME
Question: Why am I not receiving payment for treating cystoid macular edema (CME) after cataract [...] - Reader Question:
Time-Consuming DCR
Question: How can we receive ethical reimbursement for a (dacryocystorhinostomy)DCR (68720) with tubes (for lacrimal [...] - Reader Question:
Blepharoplasty and Blepharoptosis
Question: Are blepharoplasty (15823) and repair of blepharoptosis (67908) bundled?
California Subscriber
Answer: CMS has left this [...] - Reader Question:
Same-Day Preoperative and A-Scan
Question: A patient had a laser treatment. He returned for a follow-up visit a week [...]
