Wiki Ptergium removal

[terrycode]

Can anyone tell me the correct code for excision of ptergium?

Also, is code 92226 used when it is subsequent to a 92225 on the same day? What if it is a different visit on a different day--then do you use 92225 again, or do you then bill a 92226?

Thanks for any input!

 

[aguelfi]

FOr Ptergium removal you would use 65420 without graft and 65426 with graft.

As for billing an ophthalmoscopy: 92225 is use the first time you inqire about a disease, if performed bilateral-92225-RT and 92225 LT (or with a 50 modifier, depending on what your carrier prefers). Any time it is performed for the same condition on the patient on a different DOS, you would bill 92226.
If the patient is seen for a new condition and an extended ophthalmoscopy is performed you could bill the initial 92225 again.

 

[terrycode]

Thanks so much for your help!