Ophthalmology (December 2007)

December 2007 page 13d Bonus Feature: Ophthalmology Question: If performing intravitreal insertion of a nonbiodegradable drug delivery implant (without removal of vitreous) should code 11981 , 67027 , or 67299 be reported? Answer: Code 67027 , Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous , should be reported with modifier 52, Reduced services , appended. The use of modifier 52 indicates that at the discretion of the physician a portion of the procedure as described was not performed. As indicated, "the removal of vitreous" was not performed. Ophthalmology (December 2007). CPT® Assistant. 2007; December 2007 page 13d ...

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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 premium article is a brief ophthalmology coding question-and-answer from CPT Assistant. It focuses on how to approach reporting for a specific intravitreal implant scenario, including discussion of related CPT code options and use of a modifier. It is useful for coders, billers, and ophthalmology practices looking for guidance on procedure reporting in this setting.

Why This Topic Matters

Ophthalmology coding often depends on precise procedure reporting and correct modifier use. This article highlights a scenario where a procedure is performed without one component described in the full service, making it relevant to claim accuracy and documentation review.

Article Sections

  1. Bonus Feature: Ophthalmology

    A question-and-answer discussion focused on an ophthalmology procedure reporting scenario in a CPT Assistant format. The section presents a coding concern and a response tied to procedural reporting considerations.

What You Will Learn

  • How a short ophthalmology coding Q&A is structured
  • The type of procedure-reporting issue addressed in the article
  • How modifier-related guidance is discussed in a CPT Assistant context
  • Which coding references are relevant to an intravitreal implant scenario

Who Should Read This

  • Ophthalmology coders
  • Medical billers
  • Revenue cycle staff
  • Physician documentation staff
  • Compliance professionals

Codes Discussed

Modifiers Discussed


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