Wiki Surgery

[scutler]

Can we bill a 67040 (OS) with 67028 (Avastin Injection) (OD) during the surgery?

Thank you.

 

[sls314]

Can we bill a 67040 (OS) with 67028 (Avastin Injection) (OD) during the surgery?

Thank you.

There is a NCCI edit for 67040 and 67028. A modifier is allowed to override the relationship.

If the procedures are on different eyes, you could use a modifier to override the NCCI edit.

(Note - the above answer is based on my knowledge of NCCI edits in general. I'm not an opthalmology coder. However, different eyes would be an appropriate use of a modifier to override an edit.)

 

[scutler]

Thank you,
I was thinking the same thing just wanted to see if I was missing anything.