SEP 28, 2017
Denial of Patch Graft
Question: We billed Medicare Part B CPT code 66180 Ahmed valve and 67255 Scleral patch graft and 65875 Posterior synechiae excision. They denied CPT code 67255 for the graft. Why was it denied?
Answer: CPT code 66180 includes the graft. CCI edits also bundle CPT codes 67255 and 66180. Learn more about surgical codes in the Ophthalmic Coding Coach.