Ophthalmology and Optometry Coding Alert

You Be the Coder:

Bilateral Punctal Eversion

Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.


 

Answer: Generally, patients requiring bilateral punctal eversion report to the ophthalmologist with epiphora (375.20). Eversion of the lacrimal punctum (375.51) is the most accurate diagnosis for the procedure performed. The procedure is coded 68705 (Correction of everted punctum, cautery), and you should append modifier -50 (Bilateral procedure) to the procedure code to indicate it is performed bilaterally.


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