Medications Associated with Intravitreal Injections – Ophthalmic Professional

The most common ophthalmic procedure in Medicare is intravitreal injection (CPT code 67028). The injection is usually associated with a medication, which may be reimbursable. Some medications are very expensive while others are compounded and considerably less pricey. All have high utilization so they place huge cost burdens on our health care system. Additionally, the Office of the Inspector General has placed oversight that affects these medications in their annual Work Plan. With this amount of focus, it’s easy to see why getting all of the points in this article right is important.

This article addresses the following topics:

  • Overfill
  • Documentation of individual vials
  • Complimentary vials

This article was published in Ophthalmic Professional’s Coding column, and written by Corcoran’s Senior Consultant, Paul Larson, COE. To view the entire article in Ophthalmic Professional, click on the link below:

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Intravitreal Injections

How do I bill correctly for intravitreal injections? What other considerations impact reimbursement? The answers are part of this 14 minute eLearning program that covers billing for intravitreal injections and provides guidance on proper documentation as it relates to this very common procedure.  Review questions are presented and discussed at the conclusion of the course.

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