Lisa Bledsoe
True Blue
My doc excised two pterygium from the same eye (one located toward the inner part "nasal" and one located toward the outer part "temporal"), and performed an amniotic membrane translplant to they eye. He coded: 65400, 65420, 68320, 65780 (no modifiers). Ins denied all but 65420. Per CCI edits all of the others are billable with mod -59. I think it should be coded 65420 and 65780 -59 only...(65400 states "except pterygium"). But since he removed TWO from the same eye, can I code 65420 twice (x2) or 65420, 65420 -59? Any help is greatly appreciated!