Ophthalmology and Optometry Coding Alert

Reader Question:

Corneal Repair Trumps Foreign Body Removal

Question: Our ophthalmologist removing a corneal foreign body, and then performed a laceration repair to fix the cut in the patient’s cornea. Which codes should we report?

Answer: If you perform a laceration repair, use 65275 (Repair of laceration; cornea, nonperforating, with or without removal foreign body). Note that the code definition includes “with or without removal foreign body.” This prevents you from reporting the foreign body removal in addition to 65275, whether or not a Correct Coding Initiative bundle is in place at the time of the procedure.