ALL >> Health >> View Article
Shunt Insertion With Graft

Here's an ophthalmology coding scenario that you might encounter while going about your routine work.
Scenario: Our physicians are not sure how to go about this situation - would it be proper to bill for both 66180 and 67255 at the same OR session and same eye for an aqueous shunt insertion and a scleral reinforcing graft?
Well, you should be able to report both the aqueous shunt procedure (66180, Aqueous shunt to extraocular reservoir [example, Molteno, Schocket, Denver-Krupin]) and the reinforcement (67255, Scleral reinforcement [separate procedure]; with graft).
As the ophthalmologist does not have to perform 67255 on every patient who gets a shunt, be sure the documentation includes information about the sclera thinning or other reason for the reinforcement procedure to support medical necessity for the additional procedure.
Note down: You may need to append modifier 51 (multiple procedures) to 67255, depending on your carrier as your physician performed more than one procedure during the same operative session. Medicare does not require you to ...
... use modifier 51 on a Medicare claim because the carrier will automatically add it; however you will likely need the modifier for private payers. Link the proper glaucoma diagnosis to 66180 for the shunt insertion, and link 379.04 (Scleromalacia perforans) to 67255 for the graft.
Remember: These procedures are unilateral and should be reported with modifier LT (Left side), RT (Right side), or 50 (Bilateral procedure) as pointed out.
For more specialty-specific articles to assist your ophthalmology coding, sign up for a good M Medical coding resource like Coding Institute.
Add Comment
Health Articles
1. What Is Adhd? Understanding Attention Deficit Hyperactivity DisorderAuthor: Anand Healthcare and Rehab Centre
2. Comprehensive Dental Care For Every Smile In New Zealand
Author: Royal Oak Dental
3. Advantage To Get The Best Lasik Eye Surgery In Dombivli, Kalyan, Thane & Badlapur
Author: Anil Eye Hospital
4. Balancing Mind, Body & Reproductive Health Through Ayurvedic Treatment For Fertility
Author: Aasha Ayurveda
5. Buy Nervigesic 300mg In Australia: Effective Relief For Nerve And Muscle Pain
Author: josephine
6. Hospital Beds Market 2025-2035: Global Industry Analysis, Size, Share, And Growth Forecast
Author: Ajay M
7. Family Law Vs Divorce Law In Singapore: What’s The Difference?
Author: Singapore Sole Parent
8. Step-by-step Process Of Altruistic Surrogacy For Intended Parents
Author: Dr Shivani Sachdev Gour
9. What Is Budder Concentrate? A Beginner’s Guide To This Smooth Cannabis Extract
Author: Jacob william
10. Start Reducing Weight After Having A Consultation With Professionals
Author: Alexis Pelloe
11. Capstar For Dogs And Cats: Fast Relief From Fleas
Author: VetSupply
12. What Is Advantix For Dogs?
Author: VetSupply
13. How To Choose The Right Dentist For Dental Implants?
Author: elitedental
14. Top Characteristics Of Leading Medical Billing Companies
Author: Meenu
15. Discover Chennai’s Best Children’s Hospitals For Your Child
Author: prasanth