Dense white cataract - Phaco removal of dense

[coderguy1939]

Phaco removal of dense white cataract with typan blue dye can be coded as a complex cataract extraction but there is no DX code for dense white cataract in ICD-9. I'm thinking of using 366.8. Any other opinion would be welcome.

 

[magnolia1]

I would go with 366.9

 

[coderguy1939]

Will Medicare rejects 66982 with a 366.9 DX. Do we need to submit the op report?

 

[magnolia1]

I have not heard anything from the billing office regarding denials from Medicare for 366.9 w/ 66982.

 

[magnolia1]

Also, don't send the OP report unless you have to appeal the case.

 

[coderguy1939]

We have been denied on 66982 with 366.9.

 

[tazmania]

66982

It looks like the policy may have recently changed for this code. Dx code 366.9 is no longer covered for cpt 66982, they are requiring a more descriptive diagnosis. See the link below



http://www.wpsmedicare.com/part_b/policy/active/local/_files/l30159_ophth020.pdf