tci Outpatient Facility Coding Alert - 2015 Issue 7

Retinal Reimbursement: Understand the Procedures Involved for a Fair Claim

Read on to know the common retinal coding pitfalls. Retinal detachments are generally an emergency situation.  The way to get rightly reimbursed lies in knowing the procedures and how to handle recurrent and complex repairs. Here’s a look at common ways of dealing with detached retinas, and common errors to watch out for. Bill Once for Cryotherapy or Diathermy If your physician uses cryotherapy or diathermy to repair the detachment, you’ll submit CPT® code 67101 (Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, with or without drainage of subretinal fluid). Procedure: The ophthalmologist...

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