Ophthalmology and Optometry Coding Alert
Postsurgery Astigmatism
Question: How should I code surgically induced astigmatism? California Subscriber Answer: The correct ICD-9 code for astigmatism occurring after a corneal transplant is 996.51 (Complications peculiar to certain specified procedures; mechanical complications of other specified prosthetic device, implant, and graft; due to corneal graft). If the astigmatism results from another procedure, use 998.83 (Other complications of procedures, not elsewhere classified; other specified complications of procedures, not elsewhere classified; non-healing surgical wound). If the cause was wound dehiscence, report 998.3 ( disruption of operation wound). As the secondary diagnosis, use 367.2x (Disorders of refraction and accommodation; astigmatism). For the repair of the surgically induced astigmatism, assign 66250 (Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure) for wound revision related to dehiscence. If related to an atypical healing process after a procedure, bill 65772 (Corneal relaxing incision for correction of surgically induced astigmatism) or 65775 (Corneal wedge resection for correction of surgically induced astigmatism).
Ophthalmology and Optometry Coding Alert
- Use Eyelid Modifiers (-E1, -E2, -E3, -E4) for Three Procedures
Reviewed on May 18, 2015 Coders are often confused about when to use the eyelid [...] - Coordinate Co-Management Care With Modifiers -54 and -55
Ophthalmologists and optometrists often work together caring for cataract surgery patients and must use modifiers [...] - News Brief:
CMS Announces OPT Not Covered for Occult Lesions
On March 28, 2002, CMS announced that ophthalmologists cannot use 67221 (Destruction of localized lesion [...] - You Be the Coder:
IOL Placement
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Exercise Caution When Billing Scanning Laser With Visual Fields
When you examine a glaucoma patient, some carriers limit additional diagnostic procedures. They may object [...] - Reader Question:
Bilateral GDX
Question: How should we bill for GDX testing when performed bilaterally? Ohio Subscriber
Answer: You [...] - Reader Question:
Prosthesis Implantation
Question: Our physician inserted a retinal prosthesis. How should I code this procedure? Florida Subscriber [...] - Reader Question:
Multiple Xanthelasma Removal
Question: Our physician removed xanthelasma from all four lids. There was extensive muscle dissection the [...] - Reader Question:
Diagnosis for New Eyeglasses
Question: When we prescribe new eyeglasses only, should we use a diagnosis of 368.8? What [...] - Reader Question:
Postsurgery Astigmatism
Question: How should I code surgically induced astigmatism? California Subscriber Answer: The correct ICD-9 code [...] - Reader Question:
Office Visit and Refraction
Question: A Medicare patient comes in for a medical examination, and we also perform a [...] - Reader Question:
No Foreign Body
Question: Which diagnosis code should we use when a patient comes in with a foreign-body [...] - Reader Question:
Levator Resection
Question: What is the code for a levator resection? New Jersey Subscriber Answer: For an [...]
