Wiki Coding Goniotomy w/Istent

[KoBee]

Anyone familiar on correct coding when Goniotomy 65820 is done with Istent 0671T


I did read: Goniotomy should not be coded/billed in addition to other angle surgeries, stent insertion(s) or Schlemm canal implants, if the incision into the trabecular meshwork is minimal or incidental to those procedure(s), separate reimbursement is not allowed.


but what is considered minimal? we have providers stating the Goniotomy is not minimal and should get reimbursement for procedure.

there is no NCCI edit


Help anyone :/

 

[natashalage]

Hello, sorry, i am not an expert. We do code eye surgeries with a senior coder but we have not seen any cases so far with 65820 and Istent together. Istent with cataract procedures are very common 66991, 66989. I am not a big help here but just wanted to say, we don't have such cases in our big practice. Will be interesting to see the answer in this forum.