Coding > Coding

Codes H25.11, H25.12 and H25.9 cataract coding

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Ruthie1972:
Hi there
Is anyone proficient in cataract surgery coding? We are the anesthesiologist and we keep tying to bill Medicare the above codes, I keep getting rejections stating due to HCPCS? Has anyone had issues with this? Thank you.

Michele:
The codes in your subject line are ICD10 codes so if the diagnosis is stating due to "HCPCS" it must be something else.  Without more info there is no way to tell.  Did you get a specific denial?

Ruthie1972:
Hi Michele
I know, but unfortunately Medicare will not provide me with any other information? It is the oddest thing. I called the surgeon's office to try and get another DX, that is the only thing I can think to do. Thanks for answering.

Michele:
That is strange.  I guess calling the surgeon is the only other option.  If that doesn't work I would call Medicare again and hopefully a different rep will be more helpful.  Good luck!

Ruthie1972:
So true, how that does happen. One person can always give a different answer. Have a great weekend.

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