Ophthalmology and Optometry Coding Alert
Don't Confuse 67210 and 67228
Indiana Subscriber
Answer: Because both diagnoses require treatment of lesions in the macular region, one CPT code represents the treatment for both 362.01 (Background diabetic retinopathy) and 362.83 (Retinal edema).
CPT code 67210 (Destruction of localized lesion of retina [e.g., macular edema, tumors], one or more sessions; photocoagulation) treats lesions and fluid leakage in the macular region, which means it treats both 362.01 and 362.83.
Don't confuse the use of 67210 to treat 362.01 with the use of 67228 (Destruction of extensive or progressive retinopathy [e.g., diabetic retinopathy], one or more sessions; photocoagulation) to treat 362.02 (Proliferative diabetic retinopathy) just because the descriptor for 67228 references treatment of diabetic retinopathy. The slight difference between the degrees of diabetic retinopathy determines which laser treatment is used.
Ophthalmology and Optometry Coding Alert
- Make the Mo$t of Your Claims for Fundus Photography
At the very least, you want to avoid fraud charges. At most, you want to [...] - Reference Tip:
Check Medicare's Fee Schedule for Bilateral Codes
Most CPT codes in the ophthalmology section are considered unilateral by Medicare; however, some are [...] - You Be the Coder:
Don't Confuse 67210 and 67228
Question: Are background diabetic retinopathy and retinal edema treated by the same laser procedure, or [...] - Avoid Complications of Diabetes-Related Coding
America is being blinded by obesity Coding for eye diseases related to diabetes presents a [...] - NCCI Version 9.3 Edits Sew Up Surgical Procedures
The new National Correct Coding Initiative (NCCI) edits include only one coding change for ophthalmologists, [...] - Reader Question:
A Map for Reporting Topography
Question: How do we correctly bill topography? We used 92499 (Unlisted ophthalmological service or procedure) [...] - Reader Question:
Coding Lesion Removal
Question: Which diagnosis codes should I use for removal of a benign lesion?
Iowa Subscriber
Answer: You [...] - Reader Question:
Track Down Scleral Patch Graft Code
Question: Which CPT code should we use for a scleral patch graft following aqueous shunt [...]
