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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Article Overview
This short CPT Assistant article addresses a coding question about corneal cross-linking and related reporting considerations for the associated supply in an office or other nonfacility setting. It is relevant to professional coders, billing staff, and ophthalmology practices looking for general guidance on how the topic is discussed in CPT Assistant and what kinds of code sets may be involved.
Why This Topic Matters
The article helps readers identify the correct category of guidance for a specific ophthalmic procedure and understand that supply reporting may involve CPT or HCPCS-based considerations depending on payer preferences.
What You Will Learn
- How CPT Assistant frames reporting for a corneal cross-linking procedure.
- How separate supply reporting may be discussed for a nonfacility setting.
- What general code-set considerations may arise when payers have preferences.
- How a brief Q&A format addresses a specialty coding topic.
Who Should Read This
- Medical coders
- Billing staff
- Ophthalmology practices
- Revenue cycle teams
- Compliance staff
Codes Discussed
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