Ophthalmology and Optometry Coding Alert

Reader Question:

Corneal Topography

Question: How should we bill for corneal topography? Our ophthalmologist says there must be a code other than the unlisted code.

Pennsylvania Subscriber

Answer: Your ophthalmologist has the right instinct. There should be a code for corneal topography. The American Academy of Ophthalmologys (AAO) committee, formally called the DPTR (diagnostic, procedural, terminology and reimbursement), tried on several occasions to obtain a code for corneal topography, but was unsuccessful. Since they were unable to obtain a specific code, they pursued reimbursement of the service through the corneal surgical codes. The DPTR committee presented the cost and statistical data in the last refinement period for the physician work portion of the corneal transplant surgery codes and was able to obtain increased values to represent the cost of performing corneal topography in relation to corneal transplant surgery.

In theory, due to the increased [...]
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