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Ophthalmology and Optometry Coding Alert

Reader Questions:

Report 11900 for 7 Lesions or Fewer

Published on Wed Feb 01, 2006

Question: One of our ophthalmologists did an intra-lesional steroid injection on the right upper lid for hemangioma. What's the code for that?


Pennsylvania Subscriber
Answer: Report 11900 (Injection, intralesional; up to and including seven lesions) for intralesional steroid injection of a hemangioma. You would use this code for up to seven intralesional injections of any kind. For eight or more lesions, report 11901 (... more than seven lesions). Remember to report the steroid supply with the appropriate HCPCS code (such as J3301, Injection, triamcinolone acetonide, per 10 mg) as well.

Your carrier may also want you to append an eyelid modifier to specify the location of the injection--in this case, E3 (Upper right, eyelid).
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