Advanced Search

Ophthalmology and Optometry Coding Alert

READER QUESTIONS:

Fall Back on Unlisted-Procedure Code for Intacs

Published on Sun Jan 09, 2005

Question: I need a more specific CPT code for billing intacs. I have used 66999 in the past, but is there a more specific code to use?

Florida Subscriber Answer: There is no specific CPT code for inserting intrastromal corneal ring segments, also known as intacs. Most carriers recommend that you report 66999 (Unlisted procedure, anterior segment of eye) for billing intacs. Be aware, however, that most carriers also view the procedure as investigational, and therefore may not reimburse you for it.

Key: Anytime you file a claim using an unlisted-procedure code, you must submit a full operative report to describe the procedure or service. Also include a separate report that explains in simple, straightforward language exactly what the ophthalmologist did.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Ophthalmology and Optometry Coding Alert

View All