AUG 10, 2016
ICD-10 Codes for Removal of Silicone Oil
Question: We received denials for CPT code 67036 Pars plana vitrectomy (PPV) when billing ICD-10 code T85.398A Complications from silicone oil. Should we use another diagnosis as primary?
Answer: Some practices have reported denials when submitting the appropriate diagnosis for complications from silicone oil. Submit ICD-10 code H33.8 Other retinal detachments as primary and T85.398A as secondary.