tci Part B Insider - 2011 Issue 36

Part B Coding Coach: Strabismus Claim Success Depends on Detailed Anatomy Understanding

How many muscles? Horizontal or vertical? The answers will keep your coding from getting crossed up. When an ophthalmologist performs strabismus surgery, it can involve any combination of 12 extraocular muscles. Incorrectly identifying just one of those muscles can lead you to the wrong code -- and take more than $700 in reimbursement out of your practice's pocket. But you don't need a PhD in anatomy to keep the eye muscles straight -- all you need are the answers to these frequently asked questions to guide you toward choosing the right code to report your practice's strabismus treatments. Question...

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