Optometry Coding & Billing Alert
You Be the Expert:
Dx for Post-LASIK Cataracts
Published on Fri Apr 22, 2011 
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Question:
Connecticut Subscriber
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, such as Cigna, specify that V45.69 must be accompanied by diagnosis code 367.22 (Irregular astigmatism). Check with your payer to see if it has such limitations.Corneal topography is an alternative method for determining IOL power in cases in which previous LASIK surgery makes it difficult to use an A-scan or IOL Master. Report 92025 (Computerized corneal topography, unilateral or bilateral, with interpretation and report) for the test.
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