Outpatient Facility Coding Alert
Include Indocyanine-Green Dye in 92240
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.
Related Articles
Outpatient Facility Coding Alert
- Diagnostic Details:
Get a Clear Image of Ultrasound Coding to Claim It Right
You may need to code ultrasound more frequently in your office settings. Physicians have used [...] - Upper GI Update:
Follow These Tips for Successful Reimbursement of Scope Procedures
Pay attention to the documentation when endoscopy crosses the proximal duodenum. You have to walk [...] - Documentation:
Take a Look at Why You Should Venture Into Outpatient CDI Collection
It may become a survival tactic sooner than you think. CDI (clinical documentation improvement) is [...] - ICD-10 Transition:
Breathe Easy, the Transition for Lymphadenopathy in ICD-10 Is a Breeze
Check your note carefully for important details. If you come across notes from the otolaryngologist [...] - You Be the Coder:
Know How to Report in Case of Separate Organs
Question: The doctor injected Botox in the patient’s bladder wall and then injected two syringes of [...] - Reader Question:
Shave Denials with Modifiers for Multiple Sites
Question: The physician shaved three epidermal lesions that the patient chose not to have submitted to pathology. [...] - Reader Question:
Include Indocyanine-Green Dye in 92240
Question: The physician used indocyanine–green dye for membrane peels and complex cataract surgery in an ambulatory [...] - Reader Question:
Your Office Visit Includes MRI Review
Question: A patient brought in an MRI for the doctor to review. What do we bill [...] - Reader Question:
Report Initial TURP with 52601
Question: If a patient who had a laser vaporization of a portion of the prostate by [...] - Reader Question:
Avoid 15851 and 15852 for Anesthesia-Free Procedures
Question: Our dermatologist recently performed suture removal in the office for an established patient who had [...] - Reader Question:
Know The Reason if You Want To Club Fine Needle Aspiration With Another Biopsy Procedure
Question: The physician performed a fine needle aspiration and then a needle biopsy of the same [...]
