What diagnosis and procedure codes do you use? Review of Ophthalmology. CXL is used to treat corneal ectasia from progressive conditions such as keratoconus, 1 other corneal degenerations, or as a complication following keratorefractive surgery. Q May patients be charged for the procedure if insurance coverage is unlikely?
A patient presents in your office with a corneal foreign body in the left eye. The answer is no if during your examination of the patient you discover the corneal foreign body, it is the only problem you discover, and you remove it the same day.
Subjective, Objective, Assessment, Plan approach for documentation, it is best to use a Surgical Notes approach. A Not many. Use Category III CPT code 0402T Collagen cross-linking of cornea including removal of the corneal epithelium and intraoperative pachymetry when performed to report this procedure, effective Jan.
CXL has shown promise in clinical trials; the idea is to intervene early to stiffen the corneal collagen matrix while not affecting the corneal refractive index. Medicare Participating - Assignment Accepted Mandatory. Q What is corneal collagen cross-linking? Q Are there any published payment policies addressing CXL coverage?
Part C Medicare Medicare Advantage does not use the Medicare ABN form, but must issue a determination of benefits to identify beneficiary financial responsibility prior to performing noncovered services; MA Plans may have their own waiver forms.
All Academy coding advice is based on most current information available at the time of publication.
Increase your Coding Accuracy with easy-to-understand explanations written by The Coding Institute's certified coding experts. For FREE access, register now! Q What are the clinical indications for this treatment?
Payers may consider this experimental and investigational and therefore, non-covered. To plug inpatient facility revenue drains, subscribe to DRG Coder today. Most Viewed content is not available.
Verify this statement to determine if you should bill the exam with modifier -25: Clinical Labor - Direct Expense.