tci Part B Insider - 2013 Issue 7

Reader Question: Know the Dx for Post-LASIK Cataracts

Question: A patient who has had LASIK surgery now has cataracts. One of our ophthalmologists performed topography to calculate the IOL power. The cataract diagnosis (366.16) is not listed as a covered code for that diagnostic service. Which diagnosis code should we use for the topography? Answer:  Some payers accept V45.69 (Other states following surgery of eye and adnexa), indicating previous LASIK surgery, as a covered diagnosis for corneal topography. However, some payers specify that V45.69 must be accompanied by diagnosis code 367.22 (Irregular astigmatism). Check with your payer to see if it has such ...

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