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Help with coding "EXPRESS IMPLANT W/SCLERAL FLAP AND MITOMYCIN C"

Marie Posted Mon 08th of March, 2010 20:40:03 PM

I could really use some expertise on coding this eye procedure ...
I am in an ASC and I know we have to use the 0192T for the express implant ...but after that I am lost ..please help

Thanks

SuperCoder Answered Tue 09th of March, 2010 08:31:04 AM

You are correct with the code 0192T external approach, for treatment of refractory primary open-angle glaucoma,where a scleral flap is implanted in between the anterior chamber to facilitate the drainage of aqueous humor. Mitomycin C is an antibiotics and it is applied to avoid infections, which is inclusive with this procedure.

Marie Posted Tue 09th of March, 2010 12:55:22 PM

Thanks Alex ...so is the 0192T the only billiable code here ?

I was asked to bill the Mitomycin - I suppose I need to find and LCD to show it is inclusive ?
Any other suggestions ?

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