When ECP is your choice – Ophthalmology Management

When glaucoma medications fail or the patient cannot tolerate them, surgeons have various surgical procedures they can turn to — and then bill for. Here’s help with the latter task for one glaucoma surgery option when others have failed: endoscopic cyclophotocoagulation.

This article addresses the following subjects:

  • What is endoscopic cyclophotocoagulation?
  • What are the indications?
  • Is ECP used as a primary or initial line of treatment for glaucoma?
  • Does Medicare cover ECP alone or with cataract surgery?
  • Which CPT code describes ECP?
  • ECP uses an endoscope to perform the procedure. Is 66990 payable with 66711?
  • What is the Medicare reimbursement?
  • Can 65875 (severing posterior synechiae) be billed with 66711, since the iris is lifted with viscoelastic?
  • How often is ECP performed on Medicare beneficiaries?

This article was published in Ophthalmology Management’s Coding & Reimbursement column, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Ophthalmology Management, click on the link below:


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