• 2016 Category III updates include new code, 0402T, deletion of code 0123T


    Category III code changes include a new code, changed descriptor, as well as, a deleted code.

    NOTE: New CPT codes are identified by a •preceding the code number in each 2016 CPT book. Changes in the CPT descriptor are indentifed by a Δ. 

    • 0402T Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when performed) can’t be billed in conjuction with 65435 Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage), 66990 Use of ophthalmic endoscope (List separately in addition to code for primary procedure) or 76514 Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness). The code will sunset January 2021.

    Δ 0308T Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis

    0123T Fistulization of sclera for glaucoma, through ciliary body has been deleted with instructions to use the unlisted code 66999 if fistulization of sclera for glaucoma, through ciliary body is performed.

    As a reminder, while Medicare Part B adopts the above changes and coverage policies, non-Medicare payers may not cover new CPT codes, or change the global periods. Best practices verify with each individual payer.

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