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Reimbursement of Corneal Tissue

Alea Posted Wed 17th of February, 2016 13:10:48 PM

When a facility (ASC) bills 65730 (Penetrating keretoplasty) how do they bill for the tissue itself for reimbursement.

SuperCoder Answered Thu 18th of February, 2016 09:54:34 AM

Thanks for the Query

Payment for corneal tissue is separately payable only to the ASC.
Procedure code V2785 (processing, preserving, and transporting corneal tissue) must be used to report this service.
A copy of the invoice from the eye bank which provided the corneal tissue is required.
Note: Providers must provide the invoice upon request.

Alea Posted Thu 18th of February, 2016 16:20:53 PM

I understand the payment will be to the ASC.
Will they only use V2785 or are there other codes that need to be used with this code? Are they reimbursed on both the Eye bank invoice and the code?

SuperCoder Answered Fri 19th of February, 2016 09:17:34 AM

Thanks for the Query

Cpt code V2785 applicable for both the eyes. Bill 2 units of V2785 when performed on both eyes.

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