• YAG Billing for SubILM Micro-aneurysm

    Question: Our retinal surgeon performed a YAG laser for sub-internal limiting membrane microaneurysm and retinal hemorrhage.  Is there a CPT code for this newer procedure?

    Answer: According to the Academy’s Health Policy committee, submit CPT code 67299 Unlisted posterior segment. If Medicare Part B is the payer, the patient should sign and ABN and submit 67299 -GA. Indicate in box 19 of the CMS 1500 form what was performed.  The payer may also request the operative report.

     Learn more about surgeries in the Complete Guide to Retina Coding