The procedures are ranked from highest to lowest denial rates.
1. 92004: Ophthlamological services: Medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive new patient, one or more visits — 9 percent
2. 66982: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (Eg., irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine — 6 percent
3. 92012: Ophthalmological services: Medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient — 8 percent
4. 92014: Ophthalmological services: Medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, one or more visits — 8 percent
5. 92134: Scanning computerized ophthalmic diagnostic imaging, posterior segment with interpretation and report, unilateral or bilateral retina — 8 percent
6. 66821: Discussion of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg., YAG Laser) (1 or more stages) — 8 percent
7. J2778: Injection, ranibizumab, 0.1 MG — 7 percent
8. 67028: Intravitreal injection of a pharmacologic agent (separate procedure) — 7 percent
9. 66984: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg., irrigation and aspiration or phacoemulsification) — 6 percent
10. J0178: Injection, aflibercept, 1 MG — 5 percent
CPT copyright 2013 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
More Articles on Surgery Centers:
Developing a Convalescence Center: One Ambulatory Surgery Center’s Journey
ASC Physician Engagement: Tips for Communicating With Physician Owners
How Will Hospital Employment Impact ASCs in the Future
At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.
