AMA CPT® Assistant - 2018 Issue 12 (December)

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

December 2018 page 9 Surgery: Eye and Ocular Adnexa Question: Is it appropriate to report CPT code 66174 for therapeutic dilation of Schlemm's Canal and code 65820 for a goniotomy, when these two procedures are performed on the same eye to treat glaucoma? Answer: No, it would not be appropriate to report code 66174, Transluminal dilation of aqueous outflow canal; without retention of device or stent, in conjunction with code 65820, Goniotomy. Only code 66174 should be reported, as this procedure represents the service performed, and the incision inherent in goniotomy is incidental to code 66174. Question: After a...

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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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