Punctum Plugs

dstruve

Networker
Messages
59
Location
Sioux Falls, SD
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Physician used punctum dilator to dilate the upper puncta of right eye. Then inserted a collagen plug. This is my short version of the op report but basically what was done.:) My question is can I bill both 68801 for the dilation and 68761 for the insert of the plug?? I do not see in the cpt book where one is included in the other so I would think that I could do this. The physician always circles both procedures but other coders in the office say we can only bill 68761. What do you think?
 

vpcats

Guru
Messages
165
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0
Did you check the CCI for bundled pairs? There's the normal CCI but you also have to look in the Mutually exclusive list.
 
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