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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article presents brief coding questions and answers for eye and ocular adnexa surgery in the CPT code set. It addresses whether certain glaucoma-related procedures may be reported together and whether a postoperative anterior segment repair service may be reported following a minimally invasive glaucoma surgery procedure. The content is aimed at coders, billers, and ophthalmology practices reviewing CPT guidance for surgical reporting.

Why This Topic Matters

Eye surgery coding often involves closely related procedures performed in the same operative setting or during follow-up care. This article helps readers understand the scope of CPT guidance affecting reporting decisions for glaucoma and anterior segment surgery.

Article Sections

  1. December 2018 page 9

    A short Q&A format discussion of coding questions related to eye and ocular adnexa surgery in the CPT code set. The section covers glaucoma-related procedure reporting and a postoperative repair scenario.

What You Will Learn

  • The general topics addressed in CPT guidance for eye and ocular adnexa surgery
  • How the article frames reporting questions involving glaucoma-related procedures
  • What kinds of postoperative anterior segment repair questions are discussed
  • Which CPT codes and procedure scenarios are referenced in the Q&A

Who Should Read This

  • Medical coders
  • Coding auditors
  • Ophthalmology billing staff
  • Revenue cycle professionals
  • Ophthalmologists

Codes Discussed


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