tci Outpatient Facility Coding Alert - 2014 Issue 11

You Be the Coder: Know How to Report Chalazion

Question: How should I report treatments for chalazions? Pennsylvania Subscriber Answer: The answer depends on the type of “treatment” the ophthalmologist provided. If the treatment was an injection, such as Kenalog, you should report 11900 (Injection, intralesional; up to and including seven lesions) for intralesional steroid injection of a chalazion. You would use this code for up to seven intralesional injections of any kind.   For eight or more lesions, report 11901 (... more than seven lesions).   Remember: Your carrier may also want you to append an eyelid modifier to specify the location of the injection --...

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