AHA Coding Clinic® for ICD-9 - 1984 July - August

Prosthetic Lens Procedure

Does the procedure code for insertion of prosthetic lens insertion (13.70-13.72) include instillation of Helon (liquid gas sealant) in the anterior chamber? If not, can code 12.92 be used to describe the use of Helon? The answer depends on the purpose for which the code(s) are to be used. 1. Insertion of prosthetic lens (13.70-13.72) plus the code for use of Helon (12.92) increases the DRG weight assignment. The Office of Health Financing Integrity was contacted to determine the code(s) permitted for DRG assignment under the prospective pricing system. The following information was...

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