atedesco
Contributor
Looking for some assistance. I have an op note for which the physician is performing a left lateral rectus resection of the left eye. Surgery done on rt eye 2 wks earlier. Physician stating the right eye was to be explored to examine for adhesions due to recurrence of the patient's symptoms. However, the only documentation for the rt eye states: "no significant adhesions noted, however there were a few b/n muscle and conjunctiva which were broken". Provider is wanting to bill an unlisted code for this service, 68399. The only code I see that references adhesions is 67343, however I don't feel this was a significant procedure and question whether a code should be assigned at all. Any thoughts??????