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Goniopuncture Know-How – Ophthalmology Management

Glaucoma is a difficult disease to treat successfully – some treatments only work for a while and then fail. Intraocular pressure may rise again to unacceptable levels in some patients, and an additional surgical procedure may be required; goniopuncture is one choice. Here are its coding basics.

This article answers the following questions:

  • What is goniopuncture?
  • What CPT code is used to report goniopuncture?
  • What should the surgeon’s operative report contain?
  • What is the physician reimbursement for 66250?
  • What is modifier 78?
  • Would a laser suite located in a physician’s office qualify as an OR for this purpose?
  • Does payment change if the goniopuncture is performed by someone other than the surgeon who performed the original procedure?
  • What is the facility reimbursement for 66250?

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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