Outpatient Facility Coding Alert
Is IOL Bundled With Keratoplasty?
PDF
Question: The surgeon performs intraocular lens (IOL) placement with cataract surgery and then performs endothelial keratoplasty (65756). Are these procedures bundled?
Missouri Subscriber
Answer: As you need to follow Correct Coding Initiative, and that does not include the intraocular lens (IOL) placement code in keratoplasty. Therefore, you can code the cataract surgery with IOL placement (66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis [1 stage procedure], manual or mechanical technique [e.g., irrigation and aspiration or phacoemulsification]) and the endothelial keratoplasty (65756, Keratoplasty [corneal transplant]; endothelial).
Keep This in Mind for Penetrating Keratoplasty
On the other hand, if the surgeon had done a penetrating keratoplasty (65755, ... penetrating [in pseudophakia]), this procedure is bundled with the IOL placement (66984) and cannot be billed unless the two procedures were performed on opposite eyes.
Outpatient Facility Coding Alert
- Coding Strategies:
Advice Helps You Better Manage Your Dupuytren Claims
Crux is to identify and report the treatment option. When your providers treat a patient [...] - Modifier News:
Simplify Your Life When You Code Multiple Encounters on the Same Day: Here's How
Knowing which codes qualify for -27 is your first step toward success. When your physicians [...] - ICD-10:
Get Ready to Code for Knee Injuries
Here’s What You Must Know to Embrace ICD-10 System of Coding Increased emphasis on physical [...] - Reader Question:
Stick to 307.9 for Unspecified Headache
Question: When we reported diagnosis code 307.81 for tension headache, the payer denied the claim, stating [...] - Reader Question:
Rely on Unlisted Codes 41599, 40799 to Release the Tied Tongue
Question: Should I use the code 40806 or 41010 for an incision of labial ankyloglossia with [...] - Reader Question:
Look Back on the Documentation of Initial Visit for Follow-up Claims
Question: A patient saw our physician because of an abscess, and returned for a follow-up a [...] - Reader Question:
Be Informed on the Codes for Laser Conization and Ablation
Question: Our physician documented the following report: “I brought in the colposcope and articulated with CO2 [...] - Reader Question:
Is IOL Bundled With Keratoplasty?
Question: The surgeon performs intraocular lens (IOL) placement with cataract surgery and then performs endothelial keratoplasty [...] - Reader Question:
Check With Your Payer to Include the Service of Surgical Assistant
Question: The physician does Austin bunionectomy and treats a hallux valgus by surgically treating the MTP [...] - You Be the Coder:
How to Time Your Polypectomy Coding
Question: Do we need to wait for the final pathology report before coding a polypectomy? Texas [...]