JAN 12, 2016
Separate Billing of Punctal Plugs
Question: I know that Medicare Part B includes the supply of the punctal plugs with the insertion. Do other payers follow that same rule?
Answer: Not necessarily. The non-Medicare payer may recognize HCPCS code A4262 for collagen and A4263 for silicone plugs. Or, they may prefer to supply code 99070 and request an invoice.