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66984 and 67005

  1. #1
    Location
    Reno, Nevada
    Posts
    51
    Default 66984 and 67005
    Medical Coding Books
    My doctor took a patient to the operating room for a normal Cataract extraction and then she had complication during surgery. During Cataract surgery the entire nucleus dropped into the posterior segment. The OP note said no evidence of any posterior capsule remaining anywhere. She consulted with a Retina Specialiest and a subtotal anterior vitectomy was undertaken. The decision was made to finish the surgery by placing an AC IOL and remove the nucleus in the posterior segment next week.

    CCI edits bundles 66984 and 67005. Can it be unbundled since this was not a plan procedure. If so how would you code this. Any help will be verry appreciated.
    Thank You and Good Luck!!!!
    Jessica Companey, CPC
    Reno, Nevada

  2. #2
    Location
    Lexington Kentucky Chapter
    Posts
    108
    Default
    Quote Originally Posted by companey View Post
    My doctor took a patient to the operating room for a normal Cataract extraction and then she had complication during surgery. During Cataract surgery the entire nucleus dropped into the posterior segment. The OP note said no evidence of any posterior capsule remaining anywhere. She consulted with a Retina Specialiest and a subtotal anterior vitectomy was undertaken. The decision was made to finish the surgery by placing an AC IOL and remove the nucleus in the posterior segment next week.

    CCI edits bundles 66984 and 67005. Can it be unbundled since this was not a plan procedure. If so how would you code this. Any help will be verry appreciated.
    If you have a copy of Dictionary of Eye Terminology 5th Ed. and Coding Companion for Ophthalmology 2011, you will see why these two are bundled and no, I would not unbundle them. Also, from your description, the code for the subtotal anterior vitrectomy should be 67010.

    David Keown, CPC, OCS

  3. #3
    Location
    Reno, Nevada
    Posts
    51
    Default
    Thank you!!!
    Thank You and Good Luck!!!!
    Jessica Companey, CPC
    Reno, Nevada

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