FEB 21, 2017
Correct ICD-10 Code when Injecting One Eye
Question: We have a patient with bilateral wet AMD with active choroidal neovascularization. However, on a recent visit we only injected the left eye. Do we append the bilateral diagnosis to the injection?
Answer: No. This is cause for a denial with many payers. If the CPT code requires modifiers -RT or -LT, and the ICD-10 code has laterality, be sure bilateral is not reflected in the ICD-10 code selection. If the injection is in the left eye, use H35.3221 Exudative age-related macular degeneration, left eye, with active choroidal neovascularization.