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Ophthalmology and Optometry Coding Alert

Reader Question:

Include ICG Dye in 92240

Published on Sat Nov 13, 2010

Question: One of our physicians wants to know if we can bill for indocyanine-green dye. He said it is used for membrane peels and complex cataract surgery in an ambulatory setting. He said it is $125 a vial. Can we bill for this? If so, what is the CPT code, and is there a specific diagnosis that would also go along with this?Answer: You should not separately report the indocyanine-green (ICG) dye itself. Using the ICG dye is considered part of the procedure. You'll report CPT code 92240 (Indocyanine-green angiography [includes multiframe imaging] with interpretation and report) for this procedure.Similar situation: The guidelines for reporting ICG dye are the same as when you report a fluorescein angiography (92235, Fluorescein angiography [includes multiframe imaging] with interpretation and report): You don't report the actual fluorescein dye used in the procedure.Diagnosis solution: Contact your local Medicare carrier to determine the diagnosis codes that [...]
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