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Pterygium excision/amniotic membrane transplantation

  1. Default Pterygium excision/amniotic membrane transplantation
    Medical Coding Books
    I have a doc who excised two pterygium from the same eye (one located toward the inner part "nasal" and one located toward the outer part "temporal"), and performed an amniotic membrane translplant to the eye (65780).

    Since she removed TWO from the same eye, can the 65420 be coded twice? (i.e. 65420, 65420-59)

    Any help is greatly appreciated. Thanks.

  2. #2
    I would bill it twice, 65420, 65420-59, expect a denial for the second one, and then appeal with the operative report showing that the procedure was performed on two different areas of the eye.
    Denise Martin, RHIA, CEDC, CPC

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