Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The February coding selections include:

1. Separate Billing of Photrexa with Corneal Cross-linking
   When performing corneal cross-linking (CXL), do payers allow for separate billing of Photrexa?

2. Billing Punctal Plugs for Medicare
   How should I bill punctal plugs for Medicare patients? We always bill the Eye visit code with modifier -25, along with 68761 -RT and 68761 -LT, however Medicare is no longer processing the claim.

3. Billing for Beovu Injection
   What is the correct coding for the drug Beovu?

4. IOL Calculation in Operating Room
   Our surgeon is performing cataract surgery on a child. The A-scan will be performed while in the operating room. Is this still billable?
   

5. ICD-10 Code for Squamous Cell Carcinoma of Skin of Eyelid
   Is ICD-10 code C44.12- Squamous cell carcinoma of skin of eyelid, including canthus really C44.122 for the right eyelid and C44.129 for the left eyelid?

6. Adjustment to Frontalis Sling
   How do you bill for frontalis sling adjustment?

7. Billing Ophthalmoscopy Testing 
   Can we still submit 92225/92226 Extended ophthalmoscopy?

8. Dextenza Billing
   How do we bill for Dextenza when used with cataract surgery?

9. Audit Tool Applied to Eye Visit Codes
   Our compliance department is in the process of reviewing our new patient Eye visit codes, and they are down-coding our comprehensive codes to intermediate exams because we are missing the review of systems and past, family and social histories. Do we need to have this documentation?

10. Patient Requiring Ahmed and Baerveldt Implants in Same Session
    We have a patient who requires both Ahmed and Baerveldt implants due to the patient’s severity of vision loss and to aid in better IOP control. Since implants are both CPT code 66180 Aqueous shunt to extraocular equatorial plate reservoir; external approach; with graft, how should we submit?