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Wiki Ptergium removal

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terrycode

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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!
 
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.
 
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