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Wiki Billing paracentesis during cataract postop period?

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tracyoechsler

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  • Can you bill for a paracentesis during cataract postop period due to elevated IOP? 65815
 
Hi @tracyoechsler ! It's a pleasure.

Yes—65815 can be billed during the cataract post-op period if it meets the criteria for a return to the OR/procedure room and is not routine post-op care.

CPT 65815 (paracentesis of anterior chamber) is billable when:
  • There is elevated IOP requiring aqueous release
  • The intervention is medically necessary and not routine
  • It is performed in a procedure room / OR setting (not just chairside slit-lamp expression)
Encourage documentation like:

“Due to significantly elevated intraocular pressure unresponsive to medical therapy, the patient was taken to the procedure room for anterior chamber paracentesis…”

Best,

Edmundo Gonzalez, CPC, CRCR, COPC, OCS
 
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