AMA CPT® Assistant - 2018 Issue 6 (June)

Category III Codes (Q&A) (June 2018)

June 2018 page 11 Category III Codes Question: What is the appropriate code(s) to report corneal cross-linking for both the procedure and the approved drug? Answer: Category III code 0402T, Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when performed), is reported for the operative procedure. However, when performed in the nonfacility setting (eg, office), the supply of eyedrops would be reported separately with code 99070, Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services...

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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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