AHA Coding Clinic® for HCPCS - 2019 Issue 3; For Your Information

Descemet membrane stripping

Patient presents for treatment of combined age related cataract and Fuchs dystrophy in the left eye. The cataract extraction was performed with the use of iris retractors and phacoemulsification was used to remove the cataract in a divide-and-conquer technique with insertion of the lens. Next, Viscoat was injected into the anterior chamber and the cornea was marked with an ossicle bone marker, which encompassed the area of the cornea where the bumps (guttae) formed. The Descemet membrane was stripped (removed) without replacing the corneal endothelium. Viscoat was removed from the anterior chamber via irrigation/aspiration handpiece. CPT code 65756 describes Descemet’s stripping and placement of corneal graft, but providers are not always performing the graft portion. What CPT codes are reported for cataract extraction with Descemet’s stripping when the corneal graft portion of the procedure is not performed? ...

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