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Rust Ring Removal

  1. #11
    Default 65222 ??
    Medical Coding Books
    I am still confused on the whole foreign body and rust ring removal. I have two scenarios, 1. The Doctor removed the foreign body, under slit lamp, with a cotton swab and a burr grinder for partial removal of rust ring.
    2. A patient was seen the in ER two days ago and the doctor removed the corneal foreign body and today is seen by the ophthalmologist and has a rust ring which they removed using a burr under slit lamp.

    How would you code these two scenarios ? Would they both be 65222 ?

  2. #12
    Default
    This is what i found under CPT assitant

    Surgery: Eye and Ocular Adnexa

    Question:

    Can code 65435, Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage), be reported for rust ring removal of cornea when no foreign body is found or removed? Donna Allshire, CPC, CPC-H, CPC-I, CEDC, RCC

    Answer:

    No. Since the rust ring is considered foreign to the cornea, the removal is reported either using code 65220, Removal of foreign body, external eye; corneal, without slit lamp, or 65222, Removal of foreign body, external eye; corneal, with slit lamp, as appropriate.

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