Procedure and Diagnosis Coding Changes
Please take note of the following changes in coding. For those who submit actual coding to us, you will need to please make these changes so we can report the appropriate coding without needing to follow up with you. If you are sending us descriptions of your procedure and diagnosis coding, please be sure you are very specific in your descriptions.
Diagnosis Code Changes for Eye Cases Effective 10/1/2016
New codes not replacing anything
New Code H40.1110 – Primary open-angle glaucoma, right eye, unspecified
New Code H40.1120 – Primary open-angle glaucoma, left eye, unspecified
New Code H40.1130 – Primary open-angle glaucoma, bilateral eye, unspecified
New Code H40.1190 – Primary open-angle glaucoma, unspecified, unspecified
H40.11X1 – Primary open-angle glaucoma, mild stage – No longer valid 10/1/16
New Code H40.1111 – Primary open-angle glaucoma, right eye, mild
New Code H40.1121 – Primary open-angle glaucoma, left eye, mild
New Code H40.1131 – Primary open-angle glaucoma, bilateral eyes, mild
New Code H40.1191 – Primary open-angle glaucoma, unspecified, mild
H40.11X2 – Primary open-angle glaucoma, moderate stage – No longer valid 10/1/16
New Code H40.1112 – Primary open-angle glaucoma, right eye, moderate
New Code H40.1122 – Primary open-angle glaucoma, left eye, moderate
New Code H40.1132 – Primary open-angle glaucoma, bilateral eyes, moderate
New Code H40.1192 – Primary open-angle glaucoma, unspecified, moderate
H40.11X3 – Primary open-angle glaucoma, severe stage – No longer valid 10/1/16
New Code H40.1113 – Primary open-angle glaucoma, right eye, severe
New Code H40.1123 – Primary open-angle glaucoma, left eye, severe
New Code H40.1133 – Primary open-angle glaucoma, bilateral eyes, severe
New Code H40.1193 – Primary open-angle glaucoma, unspecified, severe
H40.11X4 – Primary open-angle glaucoma, indeterminate stage – No longer valid 10/1/16
New Code H40.1114 – Primary open-angle glaucoma, right eye, indeterminate
New Code H40.1124 – Primary open-angle glaucoma, left eye, indeterminate
New Code H40.1134 – Primary open-angle glaucoma, bilateral eyes, indeterminate
New Code H40.1194 – Primary open-angle glaucoma, unspecified, indeterminate
Procedure Code Changes Effective 1/1/2017
62310 – ESI cervical or thoracic – No longer valid in 2017
New Code 62320 – ESI cervical or thoracic w/out imaging guidance
New Code 62321 – ESI cervical or thoracic with imaging guidance
62311 – ESI lumbar or sacral – No longer valid in 2017
New Code 62322 – ESI lumbar or sacral w/out imaging guidance
New Code 62323 – ESI lumbar or sacral with imaging guidance
62318 – Continuous Epidural cervical or thoracic – No longer valid in 2017
New Code 62324 – Continuous epidural cervical or thoracic w/out imaging guidance
New Code 62325 – Continuous epidural cervical or thoracic with imaging guidance
62319 – Continuous Epidural lumbar or sacral – No longer valid in 2017
New Code 62326 – Continuous epidural lumbar or sacral w/out imaging guidance
New Code 62327 – Continuous epidural lumbar or sacral with imaging guidance
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Reasonable attempts have been made to be accurate. However, medical billing, collections, coding and compliance are part science, part art, and even experts sometimes differ. Neither Anesthesia Billing, Inc., the editors, publisher, contributors, or consultants warrant or guarantee the information contained will be applicable or appropriate in all situations. For information specific to your practice, consult a qualified professional.
The information included in this publication is provided, among other things, to alert you to legal developments and should not be considered legal advice. Specific questions about how this information affects your particular situation should be addressed to your attorney.
Editor: Philip Blann (pblann@anesthesiabilling.com).
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