Question

1. Dr. Yvonne removes the entire eyeball and shell but leaves extraocular structures intact. She then inserts an implant and attaches the muscles to the implant. How should these services be reported? 2. Dr. Wayne removes the entire eyeball, the shell and the extraocular structures with myocutaneous flap. How should these services be reported? 3. Dr. Vogel removes a foreign object from the lens. How should these services be reported? 4. Dr. Lynn excises a lesion from the front of the sclera. How should these services be reported? 5. Dr. Womack injects an antibiotic into the patient's vitreous. How should these services be reported?

Answer 1

1. 65105 - Enucleation with implant,muscles attached to implant

2. 65114 - Exenteration of orbit,removal of orbital contents with muscle or myocutaneous flap.

3. 65235 - Removal of foreign body,intraocular,from anterior chamber of eye or lens.

4. 66130 - Excision lesion sclera

5. 67028 - Intravitreal injection of a pharmacologic agent.

6. False

Operating microscope is also used in procedures of eye,spine,dentistry.

7. 69300 - Otoplasty,protruding ear,with or without size reduction.

8. 67145 - Prophylaxis of retinal detachment (eg.retinal break) without damage,1 or more sessions,photocoagulation.

A laser light will be passed through the pupil which are dialated and the spot at the area of retinal weakness will be burned to seal retina into place against the choroid.

9. 69210 with modifier 50 - For bilateral procedure of impacted earwax removal using curettes,hooks,forceps and suction.

10. 69631 - Tympanoplasty without mastoidectomy , initial or revision