I have observed a consistent claims issue with CPT codes 65435, 65778 and 92071 across various insurance payers. It appears that these codes are often bundled together, resulting in a single payment for 65778. Was there a recent change in the bundling rules for these codes?

Answer:
These codes are bundled due to National Correct Coding Initiative (NCCI) edits. When performed in the office, billing CPT code 65778 is recommended as it has the highest relative value units (RVU), which includes the membrane cost. In a facility, the removal of corneal epithelium has a slightly higher RVU. But note, the facility and surgeon code selection should match. To review NCCI edits, refer to the digital version of Ophthalmic Coding Coach: The Complete Coding Reference for Ophthalmology for code comparisons.

You can also find NCCI edits in the printed edition and on CMS's website, accessible through the Academy's Coding Topics webpage.