Outpatient Facility Coding Alert
Include Indocyanine-Green Dye in 92240
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Question: The physician used indocyanine–green dye for membrane peels and complex cataract surgery in an ambulatory setting. The vial cost $125; how do we bill for this?
New Mexico Subscriber
Answer: You should not separately report the indocyanine–green (ICG) dye itself. Using the ICG dye is considered part of the procedure. You’ll report code 92240 (Indocyanine-green angiography [includes multiframe imaging] with interpretation and report) for this procedure.
Similar situation: The guidelines for reporting ICG dye are the same as when you report a fluorescein angiography. You have to use 92235 (Fluorescein angiography [includes multiframe imaging] with interpretation and report). You don’t report the actual fluorescein dye used in the procedure.
Diagnosis solution: Contact your local Medicare carrier to determine the diagnosis codes that support the medical necessity for an ICG angiography. If your ophthalmologist has documented one of the appropriate diagnoses, you can report 92240 (Indocyanine-green angiography (includes multiframe imaging) with interpretation and report] and expect to be paid.
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