Surgery: Eye and Ocular Adnexa (Q&A) (June 2012)

June 2012 page 15d Surgery: Eye and Ocular Adnexa Question: May codes 66180 and 67255 be reported for placement of the "Ahmedâ„¢ Glaucoma Valve (AGVâ„¢)" with scleral reinforcement? Answer: Yes. It is appropriate to report code 66180 , Aqueous shunt to extraocular reservoir (eg, Molteno, Schocket, Denver-Krupin), for placement of the "Ahmedâ„¢ Glaucoma Valve (AGVâ„¢)." In addition, code 67255 , Scleral reinforcement (separate procedure); with graft, should also be reported to describe the scleral graft procedure. As code 67255 is designated as a "separate procedure," it is recommended that the modifier 59 , Distinct Procedural Service, be appended to indicate...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short June 2012 CPT Assistant Q&A addresses coding for an ophthalmic procedure involving a glaucoma drainage implant and associated scleral reinforcement. It is relevant to ophthalmology coders, billing staff, and audit teams reviewing procedure coding and modifier use in eye surgery claims. The article focuses on how the service is categorized and how related reporting considerations are discussed in the source.

Why This Topic Matters

It helps coding professionals understand how a specific ophthalmic surgery scenario is discussed in CPT Assistant and why related procedure reporting considerations may affect claim accuracy.

Article Sections

  1. Question and Answer

    A coding question is presented and answered for an eye surgery scenario involving a glaucoma implant and related graft work. The section provides the context for the coding discussion and the reporting considerations addressed in the source.

What You Will Learn

  • The general coding topic addressed in the ophthalmology Q&A
  • How the article frames reporting of a glaucoma-related eye surgery service
  • What related procedure-reporting consideration is discussed in connection with the case
  • The type of CPT Assistant guidance provided for this surgical scenario

Who Should Read This

  • Ophthalmology coders
  • Medical billers
  • Revenue cycle staff
  • Coding auditors
  • Practice managers

Codes Discussed

Modifiers Discussed


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