tci Medicare Compliance & Reimbursement - 2007 Issue 40

OPHTHALMOLOGY: No More Unlisted Code For Lucentis Next Year

Prepare to specify your doctor's approach to retina surgeryHeads up: If your ophthalmologist performs retina surgeries, prepare for a new wave of coding rules come January. CPT 2008 will offer you approach-specific codes for some common procedures, and HCPCS 2008 brings a J code for Lucentis. CPT 2008 will delete 67038 (Vitrectomy, mechanical, pars plana approach; with epiretinal membrane stripping) and add three new codes for vitrectomy procedures. The new codes let you specify the method your physician uses to remove the retinal membrane.You'll have to get used to the different types of vitrectomy to be able to...

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