Kelly_Josephine
Networker
I can not find anything anywhere to support the use of 66982 with this procedure. Please advise if anyone has information to show that this qualifies as complex...
The dx is right, but the epinephrine enable the surgeon to avoid use of other device... so 66984 only?
I am coding for ASC. Thanks in advance!
POSTOPERATIVE DIAGNOSIS: Visually significant nuclear sclerotic and posterior subcapsular cataract. right eye.
PROCEDURE: Cataract extraction by phacoemulsification with placement of intraocular lens, right eye, requiring intracameral epinephrine
...A lid speculum was used to provide adequate exposure. A superior paracentesis site was created with a sideport blade. Lidocaine MPF was then injec ted to facilitate intracameral anesthesia. Due to a history of Flomax use and borderline pupil dilation. Intracameral epinephrine was introduced to maximize dilation as well as prophylax against floppy iris syndrome. Viscoat was then injected to fill the anterior chamber. The clear corneal main incision was then created with a 2.4 mm keratome blade temporally The cystitome and Utrata forceps were used to create a continuous curvilinear capsulorrhex 1s . Balanced salt solution through a hydrodissection cannula was used to perform gentle hydrodissection and hydrodelineation and the lens was noted to rotate freely_ Phacoemulsification was then used to remove the nuclear and epinuclear material. Irrigation and aspiration were used to remove any remaining cortical material. Provisc was injected to fill the capsular bag_ The above mentioned intraocular lens was injected into the capsular bag and rotated into proper position using a Sinskey hook. Irrigation and aspiration were used to remove any remaining viscoelastic material. Balanced salt solution was used to hydrate the wounds until they were water-tight...
The dx is right, but the epinephrine enable the surgeon to avoid use of other device... so 66984 only?
I am coding for ASC. Thanks in advance!
POSTOPERATIVE DIAGNOSIS: Visually significant nuclear sclerotic and posterior subcapsular cataract. right eye.
PROCEDURE: Cataract extraction by phacoemulsification with placement of intraocular lens, right eye, requiring intracameral epinephrine
...A lid speculum was used to provide adequate exposure. A superior paracentesis site was created with a sideport blade. Lidocaine MPF was then injec ted to facilitate intracameral anesthesia. Due to a history of Flomax use and borderline pupil dilation. Intracameral epinephrine was introduced to maximize dilation as well as prophylax against floppy iris syndrome. Viscoat was then injected to fill the anterior chamber. The clear corneal main incision was then created with a 2.4 mm keratome blade temporally The cystitome and Utrata forceps were used to create a continuous curvilinear capsulorrhex 1s . Balanced salt solution through a hydrodissection cannula was used to perform gentle hydrodissection and hydrodelineation and the lens was noted to rotate freely_ Phacoemulsification was then used to remove the nuclear and epinuclear material. Irrigation and aspiration were used to remove any remaining cortical material. Provisc was injected to fill the capsular bag_ The above mentioned intraocular lens was injected into the capsular bag and rotated into proper position using a Sinskey hook. Irrigation and aspiration were used to remove any remaining viscoelastic material. Balanced salt solution was used to hydrate the wounds until they were water-tight...