tci Outpatient Facility Coding Alert - 2015 Issue 10

Reader Question: Include Indocyanine-Green Dye in 92240

Question: The physician used indocyanine–green dye for membrane peels and complex cataract surgery in an ambulatory setting. The vial cost $125; how do we bill for this? New Mexico Subscriber Answer: You should not separately report the indocyanine–green (ICG) dye itself. Using the ICG dye is considered part of the procedure. You’ll report code 92240 (Indocyanine-green angiography [includes multiframe imaging] with interpretation and report) for this procedure. Similar situation: The guidelines for reporting ICG dye are the same as when you report a fluorescein angiography. You have to use 92235(Fluorescein angiography [includes multiframe imaging] with interpretation...

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