You Be the Coder: Coding for Mini Glaucoma Shunt
- Published on Mon, Oct 06, 2008
Question: We used to report 66180 when the ophthalmologist implanted a mini aqueous shunt to treat glaucoma. I recently heard of a new code, 0192T, for the mini shunt, but our payer denied the claim. Is that the correct code?South Carolina SubscriberAnswer: Effective July 1, 2008, the AMA CPT panel introduced a new Category III code, 0192T (Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach), to describe insertion of the mini shunt without an extraocular reservoir. Code 66180 (Aqueous shunt to extraocular reservoir [e.g., Molteno, Schocket, Denver-Krupin]) describes a shunt with an extraocular reservoir. Ophthalmologists use these shunts to treat glaucoma, relieving pressure in the anterior chamber.Along with 0192T, CMS change request 1560 also introduced 0191T (Insertion of anterior segment aqueous drainage device, without extraocular reservoir; internal approach) to the fee schedule, describing a mini shunt inserted through an internal approach. CR 1560 did not set [...]
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