FEB 14, 2024
Is It Appropriate to Unbundle AC Tap and Intravitreal Injection?
Is it appropriate to unbundle “AC tap” (65800 Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous) when performed in the same session as an intravitreal injection (67028)?
Answer:
CPT code 65800 is bundled with 67028 by National Correct Coding Initiative (NCCI) edits. It is not appropriate to unbundle when performed on the same eye during the same encounter.
Additional education on NCCI edits and modifier usage when appropriate can be found in Retina Coding: Complete Reference Guide and Fundamentals of Ophthalmic Coding.