AHA Coding Clinic® for HCPCS - 2020 Quarter 2; Ask the Editor
Excision of excess conjunctiva
Patient with conjunctivochalasis or excess folds in the conjunctiva, underwent excision of the excess conjunctiva from the inferior bulbar surface. Excess conjunctiva measured 5 x 20 mm. Our facility considered reporting code 68110 , however there is no lesion requiring excision. The indication was there is redundant or too much conjunctiva skin present. What is the correct code for excision of the excess conjunctival folds? ...
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Article Overview
This premium coding article addresses how to think about a conjunctival excision when the clinical scenario involves excess or redundant conjunctival tissue rather than a discrete lesion. It is relevant to ophthalmology coders, billers, and revenue cycle staff who need guidance on code selection, documentation expectations, and when an unlisted procedure code may be considered.
Why This Topic Matters
Correctly classifying uncommon ophthalmic procedures helps avoid misreporting and supports appropriate documentation and claim submission when a standard code does not clearly fit the service.
What You Will Learn
- How the article frames coding for conjunctival excision involving redundant tissue
- Why documentation may matter when an unlisted procedure code is used
- The general coding topic area covered by the article in ophthalmology billing and coding
- How the scenario differs from a lesion-based excision from a relevance standpoint
Who Should Read This
- Ophthalmology coders
- Medical billers
- Revenue cycle staff
- Coding auditors
- Practice managers
Codes Discussed
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