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Dense white cataract - Phaco removal of dense

  1. #1
    Default Dense white cataract - Phaco removal of dense
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    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.

  2. #2
    Location
    Albany, New York
    Posts
    456
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    I would go with 366.9
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Default
    Will Medicare rejects 66982 with a 366.9 DX. Do we need to submit the op report?

  4. #4
    Location
    Albany, New York
    Posts
    456
    Default
    I have not heard anything from the billing office regarding denials from Medicare for 366.9 w/ 66982.
    Karen Maloney, CPC
    Data Quality Specialist

  5. #5
    Location
    Albany, New York
    Posts
    456
    Default
    Also, don't send the OP report unless you have to appeal the case.
    Karen Maloney, CPC
    Data Quality Specialist

  6. #6
    Default
    We have been denied on 66982 with 366.9.

  7. Default 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/po...9_ophth020.pdf

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