W21.05XA – Struck by basketball right eye, initial encounter S05.01XA – Injury of conjunctiva and corneal abrasion without foreign body, right eye, initial encounter
PROCEDURE CODE SOFT CONTACTS CODE
If you were to correctly and completely code the patient example above, it would look like this: ICD-10 has a slew of codes specific to corneal abrasions and sports-related ocular injuries, and it can be a challenge to know them all. In total, the coding for the first encounter, assuming it was the right eye, would be something like this:ĩ2071-RT (using the laterality modifier is critical to match your diagnosis) ICD-10 Specifics You should also keep in mind that for most presentations there is no difficulty in billing both the office visit and the bandage contact lens fit on the same date of service. You can bill for the bandage lens material as well, provided you are not using a trial lens from your inventory. This code, first appearing in January 2012, does not include the bandage contact lens material-only the service portion of the care provided. CPT Code 92071 is defined as: “Fitting of contact lens for treatment of ocular surface disease.” When coding with CPT for a corneal abrasion, you will have an office visit to code in this case either a 920X2 or a 992XX code could be appropriate to use for describing your professional services in examining the patient, determining the primary diagnosis and developing a treatment plan.Īssuming your treatment plan includes applying a soft bandage contact lens, you would use 92071 to describe this service.
PROCEDURE CODE SOFT CONTACTS HOW TO
Let’s break it down to determine how to code the encounter from start to finish, including the diagnosis, initial treatment and follow-up care. While the clinical presentation and treatment regimen may seem straightforward, the coding for it may not be. For many patients, a bandage contact lens is an excellent treatment approach it can provide protection during the healing process, relieve pain and protect the ocular surface. This scene plays out in any number of varying presentations in optometric practice, as the underlying diagnosis, corneal abrasion, is a fairly common clinical finding. So he thought it would be a good idea to come and get it checked out. The basketball hit him in the head and he thinks it scratched his eye. He says he was playing basketball with friends. A patient presents urgently with an eye that is painful, light sensitive and red.