Surgery: Eye and Ocular Adnexa (Q&A) (May 2018)

May 2018 page 10 Surgery: Eye and Ocular Adnexa Question: What are the appropriate code(s) to report when the physician excises pterygium and then glues the amniotic membrane in place? Answer: Report code 65426, Excision or transposition of pterygium; with graft, when a pterygium excision is performed with an amniotic membrane transplant (AMT) but without a conjunctival autograft. Code 65426 includes pterygium removal with any type of graft—whether conjunctival or amniotic, sutured or glued.♦ Surgery: Eye and Ocular Adnexa. CPT® Assistant. 2018; May 2018 page 10 ...

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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 short CPT Assistant Q&A article addresses coding for an eye and ocular adnexa surgical scenario involving pterygium excision with grafting. It is relevant to ophthalmology coders and billing staff looking for guidance on CPT reporting in this topic area. The article’s guidance is focused on a single question-and-answer discussion tied to a May 2018 publication date.

Why This Topic Matters

It helps readers quickly determine whether the article covers a pterygium-related operative scenario and whether the guidance is likely relevant to CPT coding for eye surgery.

What You Will Learn

  • The article’s scope within eye and ocular adnexa surgery coding.
  • How the Q&A format addresses a pterygium excision scenario.
  • The publication context and specialty focus of the guidance.
  • The general CPT coding topic covered by the article.

Who Should Read This

  • Ophthalmology coders
  • Medical billers
  • CPT coding professionals
  • Revenue cycle staff
  • Physician practice staff

Codes Discussed


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