AMA CPT® Assistant - 2022 Issue 8 (August)

Coding Clarification: Reporting Goniotomy (65820) (August 2022)

August 2022 pages 1-2 Coding Clarification: Reporting Goniotomy (65820) Concerns have been raised as to whether it is appropriate to report Current Procedural Terminology (CPT®) code 65820, Goniotomy, when a surgeon uses a tool or device to make a single puncture in the trabecular meshwork to either: deliver viscoelastic material into Schlemm’s canal or insert an aqueous drainage device through or immediately alongside the puncture(s). Some practices have received guidance that a goniopuncture alone without the incision or excision of an appreciable length of trabecular meshwork is sufficient to report code 65820, and that goniotomy may be reported...

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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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