OCT 01, 2015
Latest CCI Edits Bundle Several Ophthalmology Codes
The latest National Correct Coding Initiative edits released by the Centers for Medicare and Medicaid Services bundle several ophthalmology codes. The edits took effect Oct. 1. The edits bundle CPT codes in Column 2 with the CPT codes in with Column 1.
All edits have an indicator of 1, which means that the codes can be unbundled when the service provided satisifies the definition of modifier -59 or the new –X modifiers. Typically –X modifiers apply when the procedures are performed in separate eyes.
Column 1 |
Column 2 |
65114 Exenteration of orbit; with muscle or myocutaneous flap |
14060 Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less 14061 Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm |
65220 Removal of foreign body, external eye; conjunctival embedded |
65435 Removal of corneal epithelium; with or without chemocauterization 65436 Removal of corneal epithelium; with application of chelating agent |
65222 Removal of foreign body, external eye; corneal, with slit lamp |
65435 Removal of corneal epithelium; with or without chemocauterization 65436 Removal of corneal epithelium; with application of chelating agent |
65275 Repair of laceration; cornea, nonperforating, with or without removal foreign body |
65220 Removal of foreign body, external eye; conjunctival embedded 65222 Removal of foreign body, external eye; corneal, with slit lamp |
65435 Removal of corneal epithelium; with or without chemocauterization |
65275 Repair of laceration; cornea, nonperforating, with or without removal foreign body 65280 Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue 65285 Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue |
65436 Removal of corneal epithelium; with application of chelating agent |
65275 Repair of laceration; cornea, nonperforating, with or without removal foreign body 65280 Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue 65285 Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue |
66180 Aqueous shunt to extraocular equatorial plate reservoir; external approach; with graft |
68320 Conjunctivoplasty; with conjunctival graft or extensive rearrangement |
67028 Intravitreal injection |
68200 Subconjunctival injection |