Ophthalmology and Optometry Coding Alert
Look at Symptoms Before Coding Plateau Iris
Maryland Subscriber
Answer: How you code this condition depends on whether other symptoms are present.
Plateau iris is characterized by the iris having a flat appearance, rather than being forwardly convex. It is manifested by an abnormal iris and ciliary body. The patient with the chronic form of this condition slowly develops high intraocular pressure and visual field loss, but no pain. At first, the iris is still normal, but the ciliary body is abnormally anterior, and this changes the configuration of the iris as it pushes the peripheral part of the iris up into the angle.
Code the latter type without other symptoms as plateau iris configuration (365.02, Anatomical narrow angle) or syndrome (365.41, Glaucoma associated with chamber angle anomalies). However, if the intraocular pressure (IOP) is elevated or if the plateau iris is a form of angle-closure glaucoma, you should use 365.2x (Primary angle-closure glaucoma).
Ophthalmology and Optometry Coding Alert
- Avoid Being Caught in the No Reason Diagnosis Coding Trap
Be Smart About Coding Chief Complaints
Coding a patient's chief complaint may seem easy and [...] - Dont Confuse New Lens Insertions With Exchanges
" Clarify Intraocular Lens Implantation Coding
Coding intraocular lens (IOL) implantations [...] - Forget Needing a New Chief Complaint With G0117 and G0118
Don't assume that Medicare won't ever cover a complaint-free visit; there are particular circumstances when [...] - News Brief:
Bill Medicare for Low-Vision Testing?
Keep Your Eyes Peeled on This One
Watch for a bill introduced into Congress on May [...] - You Be the Coder:
Coding for Re-Formation of Flat Anterior Chamber
Question: We had a patient with previous glaucoma surgery who lifted a very heavy object [...] - Reader Question:
Choose Best-Fit Low-Vision Testing Code
Question: Which code should we use for the low- vision testing that our technician performs? [...] - Reader Question:
Look at Symptoms Before Coding Plateau Iris
Question: What is the ICD-9 code for plateau iris?
Maryland Subscriber
Answer: How you code this [...] - Reader Question:
Bundle Keratoplasty and Iris Repair
Question: One of our physicians performed a keratoplasty (65755) and an iris repair (66680). Are [...] - Reader Question:
Abide by 99211 Bundling
Question: Medicare recently denied our claims for two patients' brief office visits coded as 99211 [...]
