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Ophthalmology and Optometry Coding Alert

Reader Questions:

Sew Up Wound Leak Repair Coding

Published on Mon Apr 04, 2005

Question: My ophthalmologist returned to the OR this morning to repair a wound leak following an IOL insertion she did last Thursday. I'm having a hard time finding a code for this. What code and modifier do I need?

Pennsylvania Subscriber Answer: Report 66250 (Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure) for the wound leak repair. Append modifier -78 (Return to the operating room for a related procedure during the postoperative period) to show that the wound leak is a complication of the original IOL insertion.
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