BC Advantage - 2017 Issue 7
CPT Codes 2017: Get a Jump on July's New Category III Eye Codes
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Article Overview
This article explains a midyear set of CPT Category III updates relevant to ophthalmology coding. It focuses on the general scope of the new eye-related codes, the timing of their July 1, 2017 effective date, and broader Category III background from the AMA/CPT framework. The article is aimed at coders who want to understand which areas of ophthalmic and device-related reporting were changing and why these updates matter for tracking emerging services.
Why This Topic Matters
Category III updates can affect how ophthalmology and device-related services are reported, especially when new temporary codes replace reliance on unlisted code reporting. Understanding the update timing and the general categories involved helps coders stay aligned with current CPT release cycles and locate the right guidance in the full article.
Article Sections
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Apply 0469T for Retinal Polarization Scan
Introduces one of the new ophthalmology-related Category III updates and explains its general placement within the July effective-date changes. It also notes related ophthalmic screening context and code-family relationships.
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Pick 0472T or 0473T for Retinal Electrode Array Eval
Covers the pair of new Category III codes associated with intra-ocular retinal electrode array services and describes their general clinical and device-management focus. The section distinguishes between the two new reporting options at a high level.
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Focus on 0474T for Supraciliary Aqueous Drainage
Summarizes another new ophthalmology-related Category III addition involving aqueous drainage device insertion. It places the code in the context of similar existing Category III device codes.
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Here's a Category III Refresher and Action Plan
Provides broader background on Category III CPT updates, their midyear timing, and why they are used for emerging technology and services. The section also discusses general reporting considerations, payer coverage concerns, and resource references.
What You Will Learn
- The scope of the July 2017 CPT Category III ophthalmology updates
- How the article frames the use of new temporary codes in emerging technology reporting
- Which general ophthalmic service areas are affected by the update
- How Category III updates fit into the CPT release cycle
- Where the article directs readers for further category update tracking
Who Should Read This
- Medical coders
- Ophthalmology coders
- Coding managers
- Compliance staff
- Billing and reimbursement professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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