Ophthalmology and Optometry Coding Alert

You Be the Coder:

Recognize That Canaloplasty Includes Goniotomy

Question: Our ophthalmologist performed both canaloplasty and goniotomy on a patient’s right eye to treat their worsening glaucoma. We reported CPT® code 66174 for the therapeutic dilation of Schlemm’s Canal and 65820 for goniotomy, but the claim was denied. Where did we go wrong? New Jersey Subscriber Answer: The problem likely stems from the fact that as of July 1, 2020, 65820 [...]
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 your eNewsletter
  • 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
*CEUs available with select eNewsletters.