Becker's ASC Review

Becker's ASC Review Jan/Feb 2014 Issue

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12th Annual Spine, Orthopedic and Pain Management-Driven ASC Conference + The Business of Spine - call (800) 417-2035 53 10 Top Billed Ophthalmology Procedures With Highest Denial Rates By Laura Miller H ere are the top 10 billed ophthalmology procedures with the highest denial rates according to a report from RemitDATA. continuation of diagnostic and treatment program; comprehensive, established patient, one or more visits — 8 percent The procedures are ranked from highest to lowest denial rates. 5. 92134: Scanning computerized ophthalmic diagnostic imaging, posterior segment with interpretation and report, unilateral or bilateral retina — 8 percent 1. 92004: Ophthlamological services: Medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive new patient, one or more visits — 9 percent 2. 66982: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (Eg., irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine — 6 percent 3. 92012: Ophthalmological services: Medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient — 8 percent 4. 92014: Ophthalmological services: Medical examination and evaluation, with initiation or 6. 66821: Discussion of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg., YAG Laser) (1 or more stages) — 8 percent 7. J2778: Injection, ranibizumab, 0.1 MG — 7 percent 8. 67028: Intravitreal injection of a pharmacologic agent (separate procedure) — 7 percent 9. 66984: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg., irrigation and aspiration or phacoemulsification) — 6 percent 10. J0178: Injection, aflibercept, 1 MG — 5 percent n CPT copyright 2013 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. SIGN UP TODAY! ASCREVIEW Practical Business, Legal and Clinical Guidance for Ambulatory Surgery Centers Becker's ASC E-Weekly at www.BeckersASC.com or e-mail Scott Becker at sbecker@beckershealthcare.com

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