Medicare Compliance & Reimbursement
ASC:
CMS Officially OKs Ciliary Destructions In ASCs
Published on Thu May 05, 2005
Procedure has long been covered, CMS reports. CMS reported that it will add the code to the ASC list in July, and the addition will be retroactive to Jan. 1, 2005.
There's good news for ambulatory surgery centers that perform ciliary body destructions: the Centers for Medicare and Medicaid Services says the eye procedure is one that Medicare has long covered in the ASC setting.
Benefit: According to May 6 Transmittal 153 (Change Request 3817), Medicare carriers should cover the 66711 (Ciliary body destruction; cyclophotocoagulation, transscleral) code in an ASC setting.
Retro reimbursement possible
Benefit: ASCs may be able to gain reimbursement for 6711 claims previously denied in 2005.
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