AMA CPT® Assistant - 2007 Issue 12 (December)
Ophthalmology (December 2007)
December 2007 page 13e Bonus Feature: Ophthalmology Question: Pterygium excision with excision of inflammatory subconjunctival membrane and conjunctival rearrangement was performed without a graft. Would it be appropriate to report 65420 and 68320 ? Is the conjunctival rearrangement included in 65420 ? Answer: If, based on the clinical judgment of the surgeon, the conjunctival rearrangement is substantial, it would not be considered inclusive of the procedure described by code 65420 , Excision or transposition of pterygium; without graft . Therefore, in the event the conjunctival rearrangement is substantial, then code 68320 , Conjunctivoplasty; with conjunctival graft or extensive rearrangement , is separately reportable. Ophthalmology (December...
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Article Overview
This December 2007 Ophthalmology bonus feature from CPT Assistant focuses on a surgical coding question involving pterygium excision and associated conjunctival work. It is intended for ophthalmology and professional coding readers who need to understand the scope of the procedures discussed and the related CPT guidance covered in the article.
Why This Topic Matters
The article helps coders and clinicians recognize when a related conjunctival procedure may be considered separately in an ophthalmic surgery scenario. It is relevant to surgical documentation review, ophthalmology coding, and CPT-based reporting decisions.
Article Sections
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Bonus Feature: Ophthalmology
A Q&A format discussion centered on an ophthalmology surgical coding scenario from December 2007. The section addresses how the procedures in the question are viewed in relation to CPT guidance.
What You Will Learn
- The article’s ophthalmology coding topic and scope
- How the discussion frames a pterygium-related surgical coding question
- The type of CPT Assistant guidance presented for a related conjunctival procedure
- How the article is organized as a bonus feature Q&A
Who Should Read This
- Ophthalmology coders
- Professional medical coders
- Billing staff
- Physician documentation and coding reviewers
Codes Discussed
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