AMA CPT® Assistant - 2016 Issue 9 (September)

Surgery: Eye and Ocular Adnexa (Q&A) (September 2016)

September 2016 page 9a Surgery: Eye and Ocular Adnexa Question: CPT coding guidelines for lens extraction procedures (eg, code 66840) indicate that "the use of viscoelastic agents, enzymatic zonulysis, use of other pharmacologic agents, and subconjunctival or sub-tenon injections are included as part of the code for the extraction of lens." Does this include pharmacologic agents such as intravenous antibiotics or pain medications, or may they be reported separately with the lens extraction codes? Answer: No, this guideline applies to the use of pharmacologic agents in or around the eye, and does not apply to pharmacologic agents that...

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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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