You Be the Coder: Jones Tube Cleaning- Published on Wed, Feb 09, 2005
Question: How should I code for the cleaning of a Jones tube? Our patients usually come in once a year to have the tube removed, cleaned and then reinserted.
There is no CPT code for cleaning an inserted item like the Jones tube. The only option is billing an unlisted-procedure code - reporting 92499 (Unlisted ophthalmological service or procedure
) or 68899 (Unlisted procedure, lacrimal system
) - and then describing the procedure in the comments or in Box 19 of the claim form.Don't miss:
You should have patients sign an advance beneficiary notice informing them they will be responsible for payment if Medicare considers the procedure not medically necessary.