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  • Latest CCI Edits Bundle More Ophthalmology Codes


    The latest National Correct Coding Initiative edits released by the Centers for Medicare and Medicaid Services bundle several ophthalmology codes. The edits took effect  July 1. The CPT codes in Column 2 are now bundled with the CPT codes in with Column 1.

    All edits have an indicator of 1, which means that the codes can be unbundled when the service provided satisifies the definition of modifier -59 or the new –X modifiers. Typically –X modifiers apply when the procedures are performed in separate eyes.

    Column 1 Column 2
    65800 Paracentesis of anterior chamber with removal of aqueous 67028 Intravitreal injection
    65810 Paracentesis of anterior chamber with removal of citreous and/or discission of anterior hyaloid membrane, with or without air injection 67028 Intravitreal injection
    65815 Paracentesis of anterior chamber with removal of blood, with or without irrigation and/or air injection 67028 Intravitreal injection
    67917 Repair of ectropion; extensive 67961 Excision and repair of eyelid; involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin
    67924 Repair of entropion; extensive 67961 Excision and repair of eyelid; involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin
    67961 Excision and repair of eyelid; involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin

    67916 Repair of ectropion; tarsal wedge
    67923 Repair of entropion; tarsal wedge

    67966 Excision and repair of eyelid; involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin

    67916 Repair of ectropion; tarsal wedge
    67917 Repair of ectropion; extensive
    67923 Repair of entropion; tarsal wedge
    67924 Repair of entropion; extensive