AMA CPT® Assistant - 2018 Issue 5 (May)

Surgery: Eye and Ocular Adnexa (Q&A) (May 2018)

May 2018 page 10 Surgery: Eye and Ocular Adnexa Question: What are the appropriate code(s) to report when the physician excises pterygium and then glues the amniotic membrane in place? Answer: Report code 65426, Excision or transposition of pterygium; with graft, when a pterygium excision is performed with an amniotic membrane transplant (AMT) but without a conjunctival autograft. Code 65426 includes pterygium removal with any type of graft—whether conjunctival or amniotic, sutured or glued.♦ Surgery: Eye and Ocular Adnexa. CPT® Assistant. 2018; May 2018 page 10 ...

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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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