coderguy1939
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The surgeon performed the following procedure in an ASC:
Following light intravenous sedation, local anesthetic tetracaine eye drops were placed in the eye, and the patient was prepped and draped in the usual sterile fashion for cataract surgery. An LRI was performed at the appropriate axis. A paracentesis was made, and the anterior chamber reformed with 1% preservative-free lidocaine, which was then washed out with DuoVisc. A 3mm clear corneal temporal incision was made and the 360-degree circular tear capsulotomy, followed by hydrodissection of the nucleus and removal of the nucleus from the posterior chamber using a chopping technique. Remaining cortex was aspirated from the eye, and the posterior capsule was lightly polished. ProVisc was used to reform the posterior capsular bag, and a posterior chamber intraocular lens manufactured by Alcon, model SN60T5, of 14.0 diopter was injected through the incision and unfolded in the capsular bag. Remaining ProVisc was aspirated from the eye, and the anterior chamber was reformed with dilute Miostat. The incision was tested and found to be watertight. Tobrodex drops were place over the eye followed by a light pressure patch and shield. The patient left the operating room having tolerated the procedure well.
DX: Complex Cataract
Please give me opinions on coding for both the surger and the DX.
Thanks.
Following light intravenous sedation, local anesthetic tetracaine eye drops were placed in the eye, and the patient was prepped and draped in the usual sterile fashion for cataract surgery. An LRI was performed at the appropriate axis. A paracentesis was made, and the anterior chamber reformed with 1% preservative-free lidocaine, which was then washed out with DuoVisc. A 3mm clear corneal temporal incision was made and the 360-degree circular tear capsulotomy, followed by hydrodissection of the nucleus and removal of the nucleus from the posterior chamber using a chopping technique. Remaining cortex was aspirated from the eye, and the posterior capsule was lightly polished. ProVisc was used to reform the posterior capsular bag, and a posterior chamber intraocular lens manufactured by Alcon, model SN60T5, of 14.0 diopter was injected through the incision and unfolded in the capsular bag. Remaining ProVisc was aspirated from the eye, and the anterior chamber was reformed with dilute Miostat. The incision was tested and found to be watertight. Tobrodex drops were place over the eye followed by a light pressure patch and shield. The patient left the operating room having tolerated the procedure well.
DX: Complex Cataract
Please give me opinions on coding for both the surger and the DX.
Thanks.