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  2012 ICD & CPT code changes pertinent to ophthalmology

 
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PostPosted: Fri Sep 06, 2013 5:05 pm    Post subject: 2012 ICD & CPT code changes pertinent to ophthalmology Reply with quote

2012 ICD & CPT code changes pertinent to ophthalmology – effective 10-1-11

New ICD codes for 2012:

173.00 Unspecified malignant neoplasm of skin of lip
173.01 Basal cell carcinoma of skin of lip
173.02 Squamous cell carcinoma of skin of lip
173.09 Other specified malignant neoplasm of skin of lip
173.10 Unspecified malignant neoplasm of eyelid, including canthus
173.11 Basal cell carcinoma of eyelid, including canthus
173.12 Squamous cell carcinoma of eyelid, including canthus
173.19 Other specified malignant neoplasm of eyelid, including canthus
173.20 Unspecified malignant neoplasm of skin of ear and external auditory canal
173.21 Basal cell carcinoma of skin of ear and external auditory canal
173.22 Squamous cell carcinoma of skin of ear and external auditory canal
173.29 Other specified malignant neoplasm of skin of ear and external auditory canal
173.30 Unspecified malignant neoplasm of skin of other and unspecified parts of face
173.31 Basal cell carcinoma of skin of other and unspecified parts of face
173.32 Squamous cell carcinoma of skin of other and unspecified parts of face
173.39 Other specified malignant neoplasm of skin of other and unspecified parts of face
173.40 Unspecified malignant neoplasm of scalp and skin of neck
173.41 Basal cell carcinoma of scalp and skin of neck
173.42 Squamous cell carcinoma of scalp and skin of neck
173.49 Other specified malignant neoplasm of scalp and skin of neck

173.80 Unspecified malignant neoplasm of other specified sites of skin
173.81 Basal cell carcinoma of other specified sites of skin
173.82 Squamous cell carcinoma of other specified sites of skin
173.89 Other specified malignant neoplasm of other specified sites of skin

173.90 Unspecified malignant neoplasm of skin, site unspecified
173.91 Basal cell carcinoma of skin, site unspecified
173.92 Squamous cell carcinoma of skin, site unspecified
173.99 Other specified malignant neoplasm of skin, site unspecified


365.05 Open angle with borderline findings, high risk
365.06 Primary angle closure without glaucoma damage
365.70 Glaucoma stage, unspecified
365.71 Mild stage glaucoma
365.72 Moderate stage glaucoma
365.73 Severe stage glaucoma
365.74 Indeterminate stage glaucoma
379.27* Vitreomacular adhesion


V19.11 Family history of glaucoma
V19.19 Family history of other specified eye disorder



Invalid ICD codes for 2012:

173.0 Other malignant neoplasm of skin of lip
173.1 Other malignant neoplasm of skin of eyelid, including canthus
173.2 Other malignant neoplasm of skin of ear and external auditory canal
173.3 Other malignant neoplasm of skin of other and unspecified parts of face
173.4 Other malignant neoplasm of scalp and skin of neck


173.8 Other malignant neoplasm of other specified sites of skin
173.9 Other malignant neoplasm of skin, site unspecified


V19.1 Family history of other eye disorders


Revised ICD codes for 2012:


346.01 Migraine with aura, with intractable migraine, so stated, without mention of status migrainosus
346.11 Migraine without aura, with intractable migraine, so stated, without mention of status migrainosus
346.21 Variants of migraine, not elsewhere classified, with intractable migraine, so stated, without mention of status migrainosus
346.31 Hemiplegic migraine, with intractable migraine, so stated, without mention of status migrainosus
346.41 Menstrual migraine, with intractable migraine, so stated, without mention of status migrainosus
346.51 Persistent migraine aura without cerebral infarction, with intractable migraine, so stated, without mention of status migrainosus
346.61 Persistent migraine aura with cerebral infarction, with intractable migraine, so stated, without mention of status migrainosus
346.71 Chronic migraine without aura, with intractable migraine, so stated, without mention of status migrainosus
346.81 Other forms of migraine, with intractable migraine, so stated, without mention of status migrainosus
346.91 Migraine, unspecified, with intractable migraine, so stated, without mention of status migrainosus
365.01 Open angle with borderline findings, low risk





CPT and E/M changes for 2012 in Ophthalmology:

http://www.revophth.com/content/d/practice_management/c/32206/

Continuing Changes For CPT Codes in 2012
Highlights of changes that will commonly affect ophthalmic practices this year, including additions, modifications and deletions.
Donna McCune, CCS-P, COE
2/9/2012
Q. What new Category I ophthalmic codes appear in the 2012 Current Procedural Terminology manual?

A. CPT code 92070, Fitting of contact lens for treatment of disease, including supply of lens, has been deleted and replaced by two new codes. They are:
• 92071: Fitting of contact lens for treatment of ocular surface disease.
• 92072: Fitting of contact lens for management of keratoconus, initial fitting. (For subsequent fittings, report using Evaluation and Management services or General Ophthalmological Services.)
The CPT manual specifies that you should not report 92071 in conjunction with 92072 (or 92072 in conjunction with 92071) and that you should report a supply of lenses separately with 99070 or the appropriate supply code.


Q. What other ophthalmic Category I codes were deleted?

A. Additional deleted codes include two diagnostic tests:
• 92120: Tonography with interpretation and report;
• 92130: Tonography with water provocation.

Q. Were there any new Category III codes in the 2012 CPT manual?

A. Yes. New Category III codes implemented on July 1, 2011 appear in the hardcopy CPT 2012. The “+” indicates “add-on” codes. These codes are added to the primary procedure:
• +0289T: Corneal incisions in the donor cornea created using a laser, in preparation for penetrating or lamellar keratoplasty. (List separately in addition to code for primary procedure.)
• +0290T: Corneal incisions in the recipient cornea created using a laser, in preparation for penetrating or lamellar keratoplasty. (List separately in addition to code for primary procedure.)
These add-on codes are to be used in conjunction with codes 65710, 65730, 65750 or 65755. Coverage and payment for Category III codes remains at carrier discretion.
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