FEB 04, 2019
Billing Corneal Puncture in Office
Question: We performed CPT code 65600 Multiple punctures of anterior cornea in the office setting. Our clearinghouse says that a hospitalization date must be listed on the claim. The patient was not an inpatient at the time. Is this service not allowed in the office?
Answer: This CPT code has a site-of-service differential, which means payment is typically higher when performed in the office setting. Therefore, most payers cover the procedure in the office setting. I would confirm with your clearinghouse about why they need this information or if it is a misunderstanding.
Learn more about site of service differential in the Coding Coach.