tci Outpatient Facility Coding Alert - 2014 Issue 7

Reader Question: Keep the Global Period in Mind When Using 66821 For the Same Eye

Question: The ophthalmologist performed a YAG laser capsulotomy. The patient on a return visit, after 6 months complained of glare, light sensitivity, and decreased vision. The exam showed Elschnig’s pearls, and the YAG opening was now smaller than the undilated pupil. The doctor performed a repeat YAG capsulotomy on the same eye. Will the procedure be reimbursed? How should we code this? Georgia Subscriber Answer: Since the second procedure happened outside the 90-day global period for the initial yttrium aluminum garnet (YAG) laser procedure, you can report the same code 66821 (Discission of secondary membranous cataract [opacified posterior...

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