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complex cataract

  1. Default complex cataract
    Medical Coding Books
    Hello all,

    I have an op note states:

    Pre/Post DX: Complex cataract

    Dense nuclear sclerotic cataract. She has a very small eye, less than 19mm, making this a complex case.

    Did query doc to verify trypan blue or other instruments used and this is a Medicare patient. Doctor said no, just small eye making this complex.

    Not enough here....66984 366.16 743.10

    Thanks for any thoughts!

  2. #2
    Lexington Kentucky Chapter
    Lacking notation in the surgical case log of necessity of one of the four types of instruments, disease state that weakens the support structures, dye, pre-op size of pupil I would consider this a normal cataract.

    David E. Keown, CPC, OCS

  3. Default
    thanks and was my thoughts. I did bill 66984

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