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The eye and ocular adnexa system saw a few modifications as wells as a setback to its current CPT and Category III listings. Category III codes 0016T-0017T to reflect destruction of localized lesion by transpupillary thermotherapy or destruction of macular drusen, photocoagulation have been deleted in 2011, with the reporting of either procedure taking a step backwards. CPT users are required to report the unlisted CPT 67299 for these two procedures. Ambulatory surgery centers should keep in mind CMS does not currently include unlisted procedures on its ASC list of approved procedures.
CPT revised its language for its irodotomy/iridectomy by laser surgery to reflect "per session". For greater specificity, CPT modified Category III code 0191T, insertion of anterior segment aqueous drainage device, to specify "into the trabecular meshwork" and adds yet another Category III code to specify "into the suprachoroidal space".
Due to its conversion to a Category I status, Category III codes (0176T-0177T) have been deleted. CPT has established new codes to capture transluminal dilation of aqueous outflow canal w/wo stents. CPT has also established new codes for the placement of amniotic membrane on the ocular surface for wound healing, self-retaining or sutured.
Here are additional changes to the eye and ocular adnexa section:
66761 — Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (1 or more sessions) (per session) (Revised code in 2011)
66174 — Transluminal dilation of aqueous outflow canal; without retention of device or stent (New code in 2011 MCR ASC list; $1,675.21)
66175 — ; with retention of device or stent (New code in 2011 MCR ASC list; $1,675.21)
65778 — Placement of amniotic membrane on the ocular surface for wound healing; self-retaining (New code in 2011 MCR ASC list; $314.70)
65779 - ; single layer, sutured (New code in 2011 MCR ASC list; $ 291.90)
0191T — Insertion of anterior segment aqueous drainage device, without extraocular reservoir; internal approach, into the trabecular meshwork (Revised code in 2011)
0253T — Insertion of anterior segment aqueous drainage device, without extraocular reservoir; internal approach, into the suprachoroidal space (New code in 2011 MCR ASC list $945.91)
To contact Cristina Bentin and learn more about Coding Compliance Management, visit www.ccmpro.com.
The information provided should be utilized for educational purposes only. Please consult with your billing and coding expert. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions.
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