AMA CPT® Assistant - 2012 Issue 12 (December)

Surgery: Eye and Ocular Adnexa (Q&A) (December 2012)

December 2012 page 14 Surgery: Eye and Ocular Adnexa Question: May CPT codes 66170 and 66172 trabeculectomy ab externo be reported in addition to 0191T and 0192T for insertion of anterior segment aqueous drainage device without extraocular reservoir? Answer: No. It would not be appropriate to report either Category I code 66170, Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery, or code 66172, Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents), in addition to either Category III code 0191T, Insertion of...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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