tci Outpatient Facility Coding Alert - 2014 Issue 8

Reader Question: Is IOL Bundled With Keratoplasty?

Question: The surgeon performs intraocular lens (IOL) placement with cataract surgery and then performs endothelial keratoplasty (65756). Are these procedures bundled?  Missouri Subscriber Answer: As you need to follow Correct Coding Initiative, and that does not include the intraocular lens (IOL) placement code in keratoplasty. Therefore, you can code the cataract surgery with IOL placement (66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis [1 stage procedure], manual or mechanical technique [e.g., irrigation and aspiration or phacoemulsification]) and the endothelial keratoplasty (65756, Keratoplasty [corneal transplant]; endothelial).  Keep This in Mind for Penetrating Keratoplasty On the...

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