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Home
Codes
CPT
CPT Codes
Surgery
Surgical Procedures on the Eye and Ocular Adnexa
Surgical Procedures on the Posterior Segment of the Eye
Vitreous Procedures on the Posterior Segment of the Eye
67028
67027
67028
67030


CPT® 67028, UNDER VITREOUS PROCEDURES ON THE POSTERIOR SEGMENT OF THE EYE

The Current Procedural Terminology (CPT®) code 67028 as maintained by American
Medical Association, is a medical procedural code under the range - Vitreous
Procedures on the Posterior Segment of the Eye.



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ADDITIONAL/RELATED INFORMATION

Lay Term
 * Lay Term
 * CPT® Code Guidelines
 * Upcoming & Historical Information

Summary

The provider injects a medication into the vitreous chamber of the eye as an
isolated procedure or a separate procedure unrelated to any other procedure
being performed on the eye.

For clinical responsibility, terminology, tips and additional info
start codify free trial.


View any code changes for 2023 as well as historical information on code
creation and revision.

CROSSWALKS

MODIFIERS
 * MODIFIERS
 * ICD-9-CM Vol1 CrossRef
 * ICD-9-CM Vol3 CrossRef

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare
carrier and private payer accepted diagnoses for the chosen CPT® code.
View the CPT® code's corresponding procedural code and DRG. In a click, check
the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility
revenue drains, subscribe to DRG Coder today.
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View matching HCPCS Level II codes and their definitions.


FORUM


Have a question about CPT Code 67028 ? Start a discussion here
Surgery
[QUOTE="scutler, post: 515109, member: 20559"] Can we bill a 67040 (OS) with
67028 (Avastin Injection) (OD) during the surgery? Thank you. [/QUOTE] There is
a NCCI edit for 67040 and 67028. A modif... [ Read More ]
Surgery
Can we bill a 67040 (OS) with 67028 (Avastin Injection) (OD) during the surgery?
Thank you.... [ Read More ]
Surgery codes
Can we bill a 67040 (OS) with 67028 (Avastin Injection) (OD) during the surgery?
Thank you.... [ Read More ]
Retina Billing
Hi All, For anyone who may be coding for retina, I did get my answer from an
Executive in the AAO, her advise is to code as: J0178 -RT J0178 sample -LT 67028
-50 She also advises that the inventory l... [ Read More ]
Retina Billing
Hi everyone, I need help! I work in an Ophthalmology clinic. We had a 74 year
old female who had come into the office for her monthly intravitreal Eylea
injection. Her right eye was injected first and... [ Read More ]
HOW TO BILL BI LATERAL THIAMINE INJECTIONS HCPC J3411
Hi, when I bill bilateral injections, I bill as such: J0178 modifiers LT, RT
double the units (some insurances require that the drug is billed on a separate
line with the respective modifier) 67028 ... [ Read More ]
Retina Billing
Hi everyone, I need help! I work in an Ophthalmology clinic. We had a 74 year
old female who had come into the office for her monthly intravitreal Eylea
injection. Her right eye was injected first and... [ Read More ]
Retina Billing
Hi everyone, I need help! I work in an Ophthalmology clinic. We had a 74 year
old female who had come into the office for her monthly intravitreal Eylea
injection. Her right eye was injected first and... [ Read More ]
Cataract coding guidelines
Hi Linda It seems you used the correct dx code for right and left eye but what
procedure was done? CPT 67028 injection and J9035 med? Ensure each line of claim
has this CPT code with each Lt or Rt mod... [ Read More ]
ophthalmology injections avastin multiple injections ophthalmology
Can two eyes be billed on the same day? For example, we use [B]67028[/B] and
[B]J9035[/B] regularly, very rarely do we have an eyelea injection. When I bill
[B]67028 50[/B] and double the price, most ... [ Read More ]
View All

CODING ALERT(S)

Coding Alert(s)
 * Coding Alert(s)
 * Code Connect
 * CMS

 * CPT� Coding: Don�t Lose Sight of These Specifics When Reporting AMD
   Interventions - (Jun 22, 2023)
   
   Check CPT® code descriptors and globals to keep your coding in compliance.
   Age-related macular degeneration (AMD) is a leading cause of vision loss in
   adults over 60, so chances are your practice is seeing its share of patients
   with AMD. [...]

 * Case Study Corner: Try Your Hand Coding This Diabetic Retinopathy Case - (Apr
   24, 2023)
   
   Correctly report everything from testing to treatment with these tips.
   Diabetic retinopathy affects nearly 8 million Americans and is a leading
   cause of blindness among working-age adults. Early detection and proper
   treatment are critical to your patients — and proper [...]

 * You Be the Coder: Which Modifier Applies to Injection During Global? - (May
   17, 2021)
   
   Question: A patient came in during the global period for a procedure on her
   left eye with a complaint relating to the right eye. The ophthalmologist
   performed an intra- vitreal injection on the right eye in addition to the
   office [...]

 * You Be the Coder: How Many Lucentis Units Should You Report? - (Mar 17, 2021)
   
   Question: We just administered Lucentis injections for the first time, and it
   was very expensive, so we want to make sure we’re reporting it accurately.
   Which codes and how many units should we bill? Florida Subscriber Answer:
   When you report [...]

 * Compliance: Report Lucentis Accurately to Avoid This Ophthalmologist�s Fate -
   (Oct 19, 2020)
   
   Remember: Single-use vials are meant to be billed only for one patient.
   Billing payers for multiple doses of single-use medications may seem like a
   simple mistake, but for one ophthalmology practice, doing those things will
   cost nearly $5 million. A [...]

 * You Be the Coder: Can You Calculate Lucentis Units? - (Mar 20, 2020)
   
   Question: Can you provide any advice about how many units of Lucentis® to
   report when the ophthalmologist injects it? Texas Subscriber Answer: The
   answer will depend on how many milligrams of the drug the physician injected.
   To determine how many [...]

 * Get the Scoop on the Top 5 Codes Reported by Ophthalmologists, Optometrists -
   (Feb 20, 2020)
   
   To get an accurate handle on where your coding stands compared to others in
   your specialty across the country, it can be a good idea to review national
   benchmarking data. Frank Cohen, director of analytics and business
   intelligence at Doctors [...]

 * HCPCS Coding: Foolproof Your J0178 Coding With These Tips - (Nov 19, 2019)
   
   Aflibercept generated last year’s highest allowed charges, CMS says. Do you
   assume that your top-billed codes mainly involve cataract excisions and eye
   exams? Think again. When you go beyond CPT® codes, you may realize that
   you’re frequently reporting HCPCS services. [...]

 * Compliance: High-Profile Ophthalmologist Could Get 30 Years in Prison for
   Medicare Fraud - (Dec 15, 2017)
   
   Avoid his mistakes to ensure you don't get caught in the government's
   crosshairs. Overbilling medications and reporting bilateral codes for
   unilateral services may seem like simple mistakes, but for one
   ophthalmologist, doing those and other things repeatedly led to a [...]

 * Revenue Booster: Report the 5 Most-Frequently Billed Eye Care Codes With Ease
   - (May 30, 2017)
   
   These quick tips will ensure that you’re bringing in accurate income for
   these common services. Eye care practices are always looking for ways to
   optimize their income, and one easy way to do that is to ensure that you’re
   reporting [...]


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