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YAG Laser Capsulotomy

  1. #1
    Default YAG Laser Capsulotomy
    Medical Coding Books
    Would someone be able to clarify this scenario for me? A patient was seen 6/2010 for cataract sx. YAG laser Cap was performed 4/2011. Everything we find calls for a global period of 90 days for the YAG. However, one of our physicians maintains after 7 to 10 days, a post operative refraction and office visit may be billed for this patient with the diagnosis of pseudophakia. Are there any exceptions to the 90 day global with this scenario?

  2. #2
    I don't know if this helps, but V43.1 cannot be used as first listed diagnosis. Also, ophthalmologists don't get reimbursed for refraction, at least if Medicare is paying. Normally, during the YAG global, as with any surgery, unless a return to the OR/Procedure Room is required, the visit is a 99024 post-op nonbillable visit. If nothing else, it is a case of bad timing to bill refraction during the YAG global. I hope this helps
    Eye Clinic coder

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