Ophthalmology and Optometry Coding Alert

You Be the Coder:

Verify Payer Preference Before Billing Punctal Plugs

Question: How do we bill for the placement of punctal plugs in all four eyelids in a patient insured by North Carolina Medicaid? When multiple plugs are placed, is each paid at 100 percent? What about Medicare? AAPC Forum Participant Answer: When reporting punctal plugs, check with the payer to verify their reporting requirements for 68761 (Closure of the lacrimal punctum; by [...]
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