67311 Cpt Code DescriptionCode 67312 is used to report two horizontal muscles on the same eye; this wouldn’t be the correct code in this procedure. When submitting a claim for the adjustable suture technique in performing strabismus surgery, bill the technique code (67335) with modifier -51, and the appropriate basic code (67311 or 67312) with modifier -AG. NEED TO PUT 3 MODIF … View the full answer Transcribed image text: 2. CPT ® 67311, Under Strabismus surgery with Other Extra Ocular Muscle Procedures The Current Procedural Terminology (CPT ®) code 67311 as maintained by American Medical Association, is a medical procedural code under the range - Strabismus surgery with Other Extra Ocular Muscle Procedures. CPT codes 67311, 67312, 67314, and 67316 are for a strabismus surgery (recession or resection procedure): • 67311 involves 1 horizontal muscle • 67312 involves 2 horizontal muscles • 67314 involves 1 vertical muscle (excluding superior oblique) • 67316 involves 2 or more vertical muscles (excluding superior oblique). 99221-99223 New Inpatient E/M codes. Summary There are many new and changed codes that affect us in eye care; be sure not to use deleted codes in 2022. 99241-99245 Office consultation E/M codes. parenteral and enteral nutrients, equipment and supplies; prosthetics, orthotics, and prosthetic devices and supplies; home health services; outpatient prescription drugs; and inpatient and outpatient hospital services. CPT Code: 43275 Description: Removal of foreign body or stent from pancreatic or bile duct using an endoscope. The general guidance for this code is that it is used for removal of foreign body or stent from pancreatic or bile duct using an endoscope. Assess the four codes. 67311 67312 67314 CPT ® 67312, Under Strabismus surgery with Other Extra Ocular Muscle Procedures The Current Procedural Terminology (CPT ®) code 67312 as maintained by American Medical Association, is a medical procedural code under the range - Strabismus surgery with Other Extra Ocular Muscle Procedures. If the eye has already been vitrectomized, CPT code 67121 may be a better choice than 67036. Apr 14, 2023 · codes 67311 and 67312 to indicate the number of muscles involved: 67311 (one muscle) or 67312 (two muscles). • Injection of intracameral vancomy-cin and ceftazidime—CPT code 66020 Injection, anterior chamber of eye. Sep 9, 1996 · The CPT codes for strabismus surgery (67311-67318) refer to each eye individually. 67312 Strabismus surgery, recession or resection procedure; 2 horizontal muscles Condition/Service CPT code(s) Temporal artery biopsy 376 09 Ligation or biopsy temporal artery RD - macula on. CPT Code: 67311 Description: Realignment of the eye with repair of one horizontal eye muscle. Code Sets CCS Clinical Classifications viewing Sat Apr 8, 2023 CCS Clinical Classifications - Other extraocular muscle and orbit therapeutic procedures Back To CCS List The following table lists codes that belong to the Other extraocular muscle and orbit therapeutic procedures Clinical Classification: Showing 1 to 15 of 50 entries. The PTP edits prevent improper payments when incorrect code combinations are reported. CPT 31237 is a medical code used to describe a specific type of nasal/sinus endoscopy procedure that involves biopsy, polypectomy, or debridement. List of codes effective January 1, 2023, published December 1, 2022; Annual Update to the List of CPT/HCPCS Codes Effective January 1, 2023, published December 1, 2022. 67311, 67332 Rationale: In the CPT® Index look for Strabismus/Repair/One Horizontal Muscle (the lateral rectus muscle is a horizontal muscle). Physical evidence of inflammation or infection, e. " When a single muscle is operated upon in either one eye or one muscle in each eye CPT code 67311 would be used again, along with the proper location modifier (RT or LT) for ASC coding (only physician coding may use modifier 50). 67101 Repair of retinal detachment, including drainage of. Laboratory Panels and Components. To report extensive operations performed on previously operated upon eyes. The diagnosis code based on the results of the test should be the primary diagnosis. Procedure codes 67311 versus 67312 and 67314 versus 67316. Institutional Payment Programs and Charge Based Reimbursement for Commercial Products. Code 67335 billed with modifier -51 is reimbursed at 3. Below you will find the Code List that is effective January 1, 2023 and a description of the revisions effective for Calendar Year. An MUE for a Healthcare Common Procedure Coding System (HCPCS) / Current Procedural Terminology (CPT) code is the maximum units of service that a provider would report under most circumstances for a single beneficiary on a single date of service. CPT® Codes: 67314–RT, 67311–RT, 51 ICD-10-CM Code: H49. The general guidance for this code is that it is used for realignment of the eye with repair of one horizontal eye muscle. Bone marrow imaging; limited area. parenteral and enteral nutrients, equipment and supplies; prosthetics, orthotics, and prosthetic devices and supplies; home health services; outpatient prescription drugs; and inpatient and outpatient hospital services. Procedure-to-Procedure (PTP) edits define pairs of Healthcare Common Procedure Coding System (HCPCS) /Current Procedural Terminology (CPT) codes that should not be reported together for a variety of reasons. Physical evidence of inflammation or infection, e. 42 RVUs and is not bundled with 67311, 67930, 67935, or 66020. List of codes effective January 1, 2023, published December 1, 2022; Annual Update to the List of CPT/HCPCS Codes Effective January 1, 2023, published December 1, 2022. CPT® Codes: 67314–RT, 67311–RT, 51 ICD-10-CM Code: H49. Strabismus correction involving the lateral rectus muscle CODE : 67311 This code is for strabismus surgery involving one horizontal muscle. This is a case in which 67312 would be appropriate. 67311 67312 67314 CPT ® 67312, Under Strabismus surgery with Other Extra Ocular Muscle Procedures The Current Procedural Terminology (CPT ®) code 67312 as maintained by American Medical Association, is a medical procedural code under the range - Strabismus surgery with Other Extra Ocular Muscle Procedures. Feb 14, 2023 · View coverage of Sacral Nerve Stimulation for Urinary and Fecal Incontinence as defined by the CMS National Coverage Determination (NCD) 230. Answer: Submit the following CPT codes: 67311 -50 Strabismus surgery, recession or resection procedure; one horizontal muscle; 67332 -50 Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy;. The general guidance for this code is that it is used for realignment of the eye with repair of one. This code is used by healthcare providers to accurately document and bill for this particular procedure. State Medicaid Director Letter #11-003 (PDF) states CMS policy on provider appeals of denials of payment for HCPCS / CPT codes billed in Medicaid claims due to the Medicaid NCCI methodologies. Access to this feature is available in the following products:. What are the CPT® and ICD-10-CM codes reported? CPT® Codes: 67314–RT, 67311–RT, 51 ICD-10-CM Code: H49. 2 Horizontal horizontal vertical musc RIO myectomy CORNEA 67335 67312 67311 67316 67314 PKP aphakic Pseudophakic Except aphakia Pterygium with graft Prokera DSAEK LRI Post. Comprehensive established Eye visit code 66711 Ciliary body destruction; cyclophotocoagulation, endoscopic; also known as ECP 12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2. Strabismus surgery codes 67311 and 67314 went down 20%, and 67312 is down 10%. Comprehensive established Eye visit code 66711 Ciliary body destruction; cyclophotocoagulation, endoscopic; also known as ECP 12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2. Oct 1, 2019 · Use the code 67311 or 67314, “one horizontal muscle” or “one vertical muscle. CPT code information is copyright by the AMA. Strabismus surgery with Other Extra Ocular Muscle Procedures. If the patient has Medicare Part B, this code isn’t bundled with 65285, 67311, 67930, or 67935. The surgeon performs a colonoscopy with removal of a polyp by hot biopsyforceps. These CPT codes, developed based on extensive collaboration with Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC), are unique for each of four coronavirus vaccines as well as administration codes unique to each such vaccine and dose. CPT Codes: 95851–95852 (range of motion [ROM] testing) are designated as separate procedures and require the practitioner’s interpretation of the results along with a separate, distinct, dated and signed written report (American Medical Association, 2018). For clarity, see the decision tree above or the “How to Choose” section below. Correct code: 67311 5. CPT code information is copyright by the AMA. NEED TO PUT … View the full answer Transcribed image text: 2. CPT codes 67311, 67312, 67314, and 67316 are for a strabismus surgery (recession or resection procedure): 67311 involves 1 horizontal muscle. January 2023. CPT Code 76516: For procedure code 76516 the global, technical (TC) and professional (26) components are classified as bilateral procedures where the bilateral adjustment does not apply, the Physicians Fee Schedule amount represents payment for both eyes. Aug 29, 2019 · 04/30/2020 Review completed 3/24/2020. Year: Records: Unique Providers: Minimum Cost. The procedure should be reported on a single claim line without the 50 or RT/LT modifiers. May 12, 2023 · CPT® Errata & Tech Corrections. CPT® Assistant has been instrumental to many in the coding community for appealing insurance denials, validating coding to auditors training staff and answering day-to-day questions that arise with applying the CPT code set correctly to visit documentation. The exceptions that are defined by the Code List are: EPO and other dialysis-related drugs (42 CFR § 411. What are the CPT® and ICD-10-CM codes reported? CPT® Codes: 67314–RT, 67311–RT, 51 ICD-10-CM Code: H49.  · Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services. They’re provided here more to show the confusion than to clear it up. As in Case 1, you can use Coding Coach to learn if any of the CPT codes are bundled and see how many RVUs each one has: 65285 has 31. When submitting a claim for the adjustable suture technique in performing strabismus surgery, bill the technique code (67335) with modifier -51, and the appropriate basic code (67311 or 67312) with modifier -AG. CPT® code 96372: Injection of drug or substance under skin or into muscle CPT® code 96372: Injection of drug or substance under skin or into muscle As the authority on the CPT® code set, the AMA is providing the top-searched codes to help remove obstacles and burdens that interfere with patient care. A: When an ERM peel is performed to correct macular pucker, the proper coding is 67041; if the ILM is also peeled, 67042 is not additive to the procedure—in fact, the two codes are bundled. 67311 has 16. The CPT Code 43275 is the code used for Surgery / digestive system. Extraocular Muscles Procedures. Focal endolaser is a higher paying code; however, prophylactic laser was not the purpose of the surgery and thus is not the. , purulence, oozing, edema, erythema, etc. These codes designated in CPT by a + sign and, by definition, are procedure codes that cannot be billed alone and must be billed with another CPT. The strabismus surgery codes (67311-67318) describe unilateral procedures or procedures performed on one eye only, explains Maggie M. 67314 involves 1 vertical muscle (excluding superior oblique) 67316 involves 2 or more vertical muscles (excluding superior oblique). Review eye muscle anatomy in CPT® to determine if the repaired muscles were horizontal or. CPT codes 67311, 67312, 67314, and 67316 are for a strabismus surgery (recession or resection procedure): • 67311 involves 1 horizontal muscle • 67312 involves 2 horizontal muscles • 67314 involves 1 vertical muscle (excluding superior oblique) • 67316 involves 2 or more vertical muscles (excluding superior oblique). Code 67311-50 should reimburse $874. Evaluation and Management (E/M) Coding. synechiolysis Reprosition IOL w/incision Insertion of IOL without CE IOL exchange Suture of IRIS 65286 65093. CPT code information is copyright by the AMA. Code 67312 is used to report two horizontal muscles on the same eye; this wouldn’t be the correct code in this procedure. Apr 8, 2023 · CPT 67311: CPT Code: CPT 67312: CPT Code: CPT 67314: CPT Code: CPT 67316: CPT Code: CPT 67318: CPT Code: CPT 67320: CPT Code: CPT 67331: CPT Code: CPT 67332: CPT Code: CPT 67334: CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and. The CPT codes for strabismus surgery (67311-67318) refer to each eye individually. Answer: Submit the following CPT codes: 67311 -50 Strabismus surgery, recession or resection procedure; one horizontal muscle; 67332 -50 Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy;. Below you will find the Code List that is effective January 1, 2023 and a description of the revisions effective for Calendar Year 2023. (lateral rectus muscle) CPT codes 67311, 67312,67314 and 67316 are for stabismus surgery. Thus, it is the purpose of the surgery, combined with which procedure was medically necessary in fulfilling that purpose, that determines the code selection. The strabismus surgery codes (67311-67318) describe unilateral procedures or procedures performed on one eye only, explains Maggie M. CPT ® 67331, Under Strabismus surgery with Other Extra Ocular Muscle Procedures The Current Procedural Terminology (CPT ®) code 67331 as maintained by American Medical Association, is a medical procedural code under the range - Strabismus surgery with Other Extra Ocular Muscle Procedures. To report extensive operations performed on previously operated. COVID-19 CPT® Guidance. Review eye muscle anatomy in CPT® to determine if the repaired muscles were horizontal or vertical. CPT 67311 describes strabismus surgery, including a recession or resection procedure of one horizontal muscle. How should you code for surgery?. 67311 - CPT® Code in category: Strabismus surgery, recession or resection procedure CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. 11 Rationales: CPT®: From the CPT® index look up Recession/Strabismus Surgery or Strabismus/Repair and selection is made by the type of muscle. Here are the definitions, according to Current Procedural Terminology (CPT): WARNING: The definitions below are from CMS. CPT codes 67311, 67312, 67314, and 67316 are for a strabismus surgery (recession or resection procedure): 67311 involves 1 horizontal muscle 67312 involves 2 horizontal muscles 67314 involves 1 vertical muscle (excluding superior oblique) 67316 involves 2 or more vertical muscles (excluding superior oblique). 2023 Annual Update to the Code List. health center (50); and rural health clinic (72) for CPT code 92136 The professional component is payable in the office (11), inpatient hospital (21), outpatient hospital (22), ambulatory surgical center (24) and independent clinic (49) for 76519 and 92136. For physician office services, assign modifier -50 to indicate bilateral procedures. The CPT codes for strabismus surgery (67311-67318) refer to each eye individually. The general guidance for this code is that it is used for realignment of the eye with repair of one horizontal eye muscle. 2 Horizontal horizontal vertical musc RIO myectomy CORNEA 67335 67312 67311 67316 67314 PKP aphakic Pseudophakic Except aphakia Pterygium with graft Prokera DSAEK LRI Post. ment of lateral rectus—CPT code 65285 Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue and CPT code 67311 Strabismus surgery, recession or resection procedure; 1 horizontal muscle. National Correct Coding Initiative (NCCI) Medically Unlikely Edits (MUEs) are used by the Medicare Administrative Contractors (MACs), to reduce improper payments for Part B claims. 67311, Under Strabismus surgery with Other Extra Ocular Muscle Procedures. 67312 involves 2 horizontal muscles. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. • 67113: Repair of complex RD (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction RD, retinopathy of prematurity, retinal tear of greater than 90°) with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, …. CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. Lesion obstructs an orifice Lesion clinically restricts eye function, for example, but not limited to: Lesion restricts eyelid function lesion causes misdirection of eyelashes or eyelid lesion restricts lacrimal puncta and interferes with tear flow;. DSEK, etc. Nov 23, 2021 · The patient is seen as an outpatient for a bilateral mammogram. CPT Code: 77055-50 Code is incorrect it should ne 77055-57. The CPT Code 67311 is the code used for Surgery / eye and ocular adnexa. The chiropractor documents that he performed osteopathic manipulation on the neck and. CPT® Smart App. Aug 2, 2022 · CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. Strabismus correction involving the lateral rectus muscle CODE : 67311 This code is for strabismus surgery involving one horizontal muscle. May 11, 2023 · 67311 - CPT® Code in category: Strabismus surgery, recession or resection procedure. The Current Procedural Terminology (CPT ®) code 67311 as maintained by American Medical Association, is a medical procedural code under the range - Strabismus surgery with Other Extra Ocular Muscle Procedures. CPT® Developer Program. The Current Procedural Terminology (CPT ®) code 67314 as maintained by American Medical Association, is a medical procedural code under the range - Strabismus surgery with Other Extra Ocular Muscle Procedures. CPT Code: 67311 Description: Realignment of the eye with repair of one horizontal eye muscle. The NCCI contractor cannot process specific claim appeals and cannot forward appeal submissions to the appropriate appeals contractor. What code(s) report this service? a. Aug 14, 2017 · Add-on codes. 99291-99292 Critical care E/M codes. 31237 CPT code description. If the same operation is performed on both eyes, assign the code twice for hospital outpatient services. Code 67311-50 should reimburse $874. (Modifier –50 indicates it was per­formed bilaterally; some payers may prefer 67311–RT and 67311–LT. 67311 Strabismus surgery, recession or resection procedure; 1 horizontal muscle. Codes requiring a 7th character are represented by "+": CPT codes covered if selection criteria are met: 67311 : Strabismus surgery, recession or resection procedure: one horizontal muscle: 67312: two. ment of lateral rectus—CPT code 65285 Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue and CPT code 67311 Strabismus surgery, recession or resection procedure; 1 horizontal muscle. Medical CPT codes are. Surgical Procedures on the Eye and Ocular Adnexa. Code 67312 ( Strabismus surgery, recession or resection procedure; 2 horizontal muscles) describes a resection procedure on two horizontal muscles in the same eye and does not describe the procedure in your scenario. Code Sets CCS Clinical Classifications viewing Sat Apr 8, 2023 CCS Clinical Classifications - Other extraocular muscle and orbit therapeutic procedures Back To CCS List The following table lists codes that belong to the Other extraocular muscle and orbit therapeutic procedures Clinical Classification: Showing 1 to 15 of 50 entries. ” When a single muscle is operated upon in either one eye or one muscle in each eye CPT. Subscribe to Codify by AAPC and get the code details in a flash. CPT codes 67311, 67312, 67314, and 67316 are for a strabismus surgery (recession or resection procedure): 67311 involves 1 horizontal muscle. CPT Context information is available to subscribers and includes, CPT context information (chapter, sub-chapter and section notes), guidelines and more. The National Correct Coding Initiative (NCCI) may include edits for these CPT codes. ) – New code for 2009 65757 for backbench preparation of corneal endothelial allograft prior to transplantation - New code for 2009 65760 Keratomileusis 65765 Keratophakia 65767 Epikeratoplasty 65770 Keratoprosthesis 65771 Radial keratotomy 65772 Corneal relaxing incision, correction, surgically induced astigmatism. CPT Code 67312 CPT 67312 describes a strabismus surgery involving recession or two horizontal muscles’ resection. Physician performs a closed manipulation of a medial malleolus fracture—left ankle. An MUE for a Healthcare Common Procedure Coding System (HCPCS) / Current Procedural Terminology (CPT) code is the maximum units of service that a provider would. As in Case 1, you can use Coding Coach to learn if any of the CPT codes are bundled and see how many RVUs each one has: 65285 has 31. CPT Code information is available to subscribers and includes the CPT code. May 15, 2013 · Note that the description for code 77055 is for a unilateral (one side) mammogram. Strabismus surgery codes 67311 and 67314 went down 20%, and 67312 is down 10%. Access to this feature is available in the following products: Find-A-Code Essentials. One vertical muscle in the right eye and another. What is the correct CPT description of code 78135? a. Below you will find the Code List that is effective January 1, 2023 and a description of the revisions effective for Calendar Year 2023. 67311 - CPT® Code in category: Strabismus surgery, recession or resection procedure. Individual components of a urinalysis (81002, 81003, 81005 and 81015) will not be reimbursed separately (unbundling) when a complete urinalysis (81000 or 81001) has been previously paid to the same provider, for the same recipient and date of service. 99218-99220 Observation care E/M codes. If the patient has Medicare Part B, this code isn’t bundled with 65285, 67311, 67930, or 67935. (lateral rectus muscle) CPT codes 67311, 67312,67314 and 67316 are for stabismus surgery. Strabismus surgery add-on code 67332 is used to indicate the procedure is performed on a patient with scarring of the extraocular muscles. The CPT Code 67311 is the code used for Surgery / eye and ocular adnexa. Mac, CPC, CEMC, CHC, CMM, ICCE, director of Best Practices-Network Operations at Mount Sinai Hospital in New York City. • 67113: Repair of complex RD (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction RD, retinopathy of prematurity, retinal tear of greater than 90°) with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, …. 67311, 67332 Rationale: In the CPT® Index look for Strabismus/Repair/One Horizontal Muscle (the lateral rectus muscle is a horizontal muscle). This means the precise diagnosis code that fully explains the narrative description of the diagnosis contained in the medical record or the test interpretation and report including the digit sub-classification for the diagnosis category. The Current Procedural Terminology (CPT) code range for Surgical Procedures on the Ocular Adnexa 67311-67999 is a medical code set maintained by the American Medical Association. Use the code 67311 or 67314, "one horizontal muscle" or "one vertical muscle. However, if the ophthalmologist recesses both the lateral rectus and medial rectus muscles of the left eye, you are not coding a bilateral procedure. This remains confusing to many coders. 1 horizontal 67311 vertical musc 67316 RIO myectomy 67314 CORNEA PKP aphakic 65750 Pseudophakic 65755 Except aphakia 65730 Pterygium with graft 65426 Prokera 65780 DSAEK 65710 LRI 65772 Post. 42 RVUs and is not bundled with 67311, 67930, 67935, or 66020. Relocated coding guidance from the Documentation Requirements section of LCD L34528 Blepharoplasty, Blepharoptosis. 52 RVUs, respectively, and are not bundled with 65285, 67311, or 66020. Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers. Not all HCPCS/CPT codes have an MUE. When submitting a claim for the adjustable suture technique in performing strabismus surgery, bill the technique code (67335) with modifier -51, and the appropriate basic code (67311 or 67312) with modifier -AG. You are directed to 67311. The procedure was performed on both eyes and may be reported as 67311 -51-LT and 67311-51-RT or 67311-50 -51. muscle in the left eye, either report CPT code 67311–50 or, as a 2-line entry, report both 67311–RT and 67311–LT. If a recession or resection of muscle is performed in both eyes, such as a bilateral lateral rectus recession, the proper coding would be 67311-50 or 67311-RT combined with 67311-51-LT. Payment for codes could be different, too. May 25, 2017 · 67335 -50 Placement of adjustable suture (s) during strabismus surgery, including postoperative adjustment (s) of suture (s); 67340 -50 Strabismus surgery. 67311 - CPT® Code in category: Strabismus surgery, recession or resection procedure. The muscle is sutured to its original insertion. 77056 is the Correct Code: 67311 The CPT code selection is for resection of one vertical muscle, but the medial rectus muscle is horizontal. Request a Demo 14 Day Free Trial Buy Now Additional/Related Information. Strabismus correction involving the lateral rectus muscle Code (s): (Continued. Differential organ/tissue kinetics (e. You are directed to 67311. Cataract surgery code 66984 is down another 4% after already taking cuts in the recent past. A prescription signed and dated by physician documenting the specific allergen extract(s) that will be administered Protocols for dosing and dose adjustments must be detailed including: Escalation, or projected build-up schedule, maintenance dosing, seasonal exposure adjustments, and protocol for missed dose. Strabismus surgery add-on code 67332 is used to indicate the procedure is performed on a patient with scarring of the extraocular muscles. CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. CPT Code: 77056 7. 99231-99233 Established Inpatient E/M codes. 89 RVUs and is not bundled with 65285, 67930, 67935, or 66020. CPT 67311 describes strabismus surgery, including a recession or resection procedure of one horizontal muscle. , splentic and/or hepatic sequestration) b. Find-A-Code Professional. When submitting a claim for the adjustable suture. ICD-10-CM: Locate Exotropia in the ICD-10-CM Alphabetic Index and you’re directed to see Strabismus/divergent. 64561, 64581, 64585, 64590, 64595, A4290, C1767, C1778, C1820, C1883, C1897, L8680. Surgical Procedures on the Ocular Adnexa. The muscle is detached at its insertion and then re-sewn posteriorly to the sclera at a distance not to exceed 8 mm from the original insertion while the medial rectus is cut at its insertion and a part of the muscle not to exceed 6 mm is resected. To code for the bilateral lateral rectus resections, report CPT code 67311–50, Strabismus surgery, recession or resection proce­dure; one horizontal muscle. But, because 66020’s descriptor includes the term separate procedure, most commercial payers will bundle it with all other surgeries, and even with the exam if performed on the same day. Jim is received brachytherapy, complex at a free-standing oncology center. 99251-99255 Inpatient consultation E/M codes. 99304-99306 Initial nursing facility care E/M codes. 67311, 67332 Response Feedback: Rationale: In the CPT® Index look for Strabismus/Repair/One Horizontal Muscle (the lateral rectus muscle is a horizontal muscle). If the same operation is performed on both eyes, assign the code twice for hospital outpatient services.