CPT^® 67042, Under Vitreous Procedures on the Posterior Segment of the Eye

The Current Procedural Terminology (CPT^®) code 67042 as maintained by American Medical Association, is a medical procedural code under the range - Vitreous Procedures on the Posterior Segment of the Eye.

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Summary

In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina to treat swelling of the macula or repair a hole in the macula. He may also inject air, gas, or silicone oil to stabilize the retina.

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Help with coding vitrectomy

I agree with the 66984 but not the 67042. There was no tamponade performed and since it's a partial removal I lean toward 67005 and I don't know about needing a modifer with that. Just a guess here.... [ Read More ]

Help with coding vitrectomy

I am in need of assistance on the proper coding for this op note. Can someone please direct me in the right direction. Here is the op note: PRE OPERATIVE DIAGNOSIS: Mature cataract OS POSTOPERATIV... [ Read More ]

67042 vs 67113

[QUOTE="deltaluv, post: 466858, member: 183964"] ... [ Read More ]

67042 vs 67113

[TABLE] [TR] [TD][TABLE] [TR] [TD]+ PPV/EndoLaser/Membrane Peeling /AFGx/Gas exchange please help 67042 vs 67113 Hx of Rhegmatogenous retinal Detachment [/TD] [/TR] [/TABLE][/TD] [/TR] [/... [ Read More ]

PPV with Silicone Oil EXCHANGE

Good Afternoon, My retinal physician has performed a removal of silicone oil, as well as a PPV with placement of silicone oil. My first thought would be to bill 67036 since the removal of the oil (6... [ Read More ]

Coding for Vitrectomy and Cataract in the same setting

If I'm billing Medicare, How would I code these 2 services for coverage? The DX code for the cataract SX (66984) is H25.811 and for the Vit (67042) I have DX code H35.371. Medicare denied me on this ... [ Read More ]

Coding a Vitrectomy and Cataract Removal Surgery in same setting

Mutually Exclusive 67040 and 67042

[COLOR=#333333] 67040 is mutually exclusive to 67042. Modifier is allowed to bypass, but i believe that is only in the case of opposite eye.[/COLOR]... [ Read More ]

Mutually Exclusive 67040 and 67042

Hello, Could someone please tell me if these two codes can be billed together with modifiers RT. I am working on a VE edit report and this is saying they are mutually exclusive by modifier RT would ... [ Read More ]

Full time in patient coder job opening at Susan B. Allen Hospital, El Dorado, Kansas

Our facility is looking for a full time experienced "IN patient" coder. Susan B. Allen Memorial Hospital EL Dorado, KS 67042 316-321-8791. Applicants can go to [url]http://www.sbamh.com/careers/caree... [ Read More ]

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