APR 26, 2017
New Tear in Global Period
Question: The surgeon performed CPT code 67145 Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions; photocoagulation due to a tear. During the postoperative period, the patient returned with a new unrelated tear requiring the surgical procedure. Can we bill for the second laser?
Answer: Submit 67145 -79 -LT as the second procedure is unrelated to the reason the patient is in the global period. Include the new location in box 19. The payer may still request documentation.
Learn more about CPT code 67145 in the Ophthalmic Coding Coach.