Surgery: Eye and Ocular Adnexa (Q&A) (October 2012)

October 2012 page 15a Surgery: Eye and Ocular Adnexa Question: If multiple intravitreal injections of several different pharmacologic agents are given, may code 67028 be reported for each injection Answer: No. Code 67028, Intravitreal injection of a pharmacologic agent (separate procedure), is reported per eye. Although rarely performed, multiple injections would be administered through the same syringe, hence the singular reporting of code 67028. Based on payer requirements, the appropriate HCPCS Level II code(s) may be reported for the drug(s). Surgery: Eye and Ocular Adnexa (Q&A) (October 2012). CPT® Assistant. 2012; October 2012 page 15a ...

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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 discusses reporting considerations for eye and ocular adnexa surgery. It focuses on a specific intravitreal injection scenario and mentions how related HCPCS Level II drug coding may be handled under payer requirements. The article is relevant to coders, billers, and ophthalmology practices looking for concise coding clarification.

Why This Topic Matters

Eye procedure reporting can be sensitive to how services are counted and linked to drug codes, so even a brief clarification can affect claim accuracy and compliance for ophthalmology services.

Article Sections

  1. October 2012 page 15a

    A brief Q&A on ophthalmology coding guidance, including reporting considerations for an intravitreal injection scenario and related drug code handling.

What You Will Learn

  • The general reporting focus of the article for eye and ocular adnexa surgery
  • How the article frames a multiple-injection ophthalmic billing question
  • That related drug coding is discussed at a high level in the context of payer requirements
  • The type of coding clarification provided in a CPT Assistant Q&A format

Who Should Read This

  • Medical coders
  • Billing staff
  • Ophthalmology practices
  • Compliance teams
  • Revenue cycle professionals

Codes Discussed


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