There are two new codes for femtosecond laser–assisted keratoplasty.
+0289T—performing femto on the donor cornea. +0289T Corneal incisions in the donor cornea created using a laser, in preparation for penetrating or lamellar keratoplasty. (List separately in
addition to code for primary procedure.) Use +0289T when the physician shapes the donor cornea incisions. If this is done by the eye bank, the physician would not report +0289T.
+0290T—performing femto on the recipient cornea. +0290T Corneal incisions in the recipient cornea created using a laser, in preparation for penetrating or lamellar keratoplasty. (List separately in addition to code for primary procedure.) +0290T is used for shaping the recipient cornea incisions. This is done in a coordinated fashion to match the donor cornea incisions. The procedure is typically performed in a laser suite, and then the patient is moved from the laser suite to the operating room for completion of the
keratoplasty procedure.
How to use the two codes.
These tips apply to both +0289T and +0290T.
• Use the codesin conjunctionwith codes 65710, 65730, 65750 and 65755.
• The two codes should not be used in conjunction with endothelial keratoplasty, CPT code 65756. Instead, use CPT code +65757, which is the separate add-on code for backbench preparation of the endothelial allograft.
• NoRVUs are assigned to these two codes.
• Since these areCategory III codes, payment is at the payer’s discretion.
• For Medicare patients, itis advisable that you obtain an Advance Beneficiary Notice from them and append modifier –GA
+0289T—performing femto on the donor cornea. +0289T Corneal incisions in the donor cornea created using a laser, in preparation for penetrating or lamellar keratoplasty. (List separately in
addition to code for primary procedure.) Use +0289T when the physician shapes the donor cornea incisions. If this is done by the eye bank, the physician would not report +0289T.
+0290T—performing femto on the recipient cornea. +0290T Corneal incisions in the recipient cornea created using a laser, in preparation for penetrating or lamellar keratoplasty. (List separately in addition to code for primary procedure.) +0290T is used for shaping the recipient cornea incisions. This is done in a coordinated fashion to match the donor cornea incisions. The procedure is typically performed in a laser suite, and then the patient is moved from the laser suite to the operating room for completion of the
keratoplasty procedure.
How to use the two codes.
These tips apply to both +0289T and +0290T.
• Use the codesin conjunctionwith codes 65710, 65730, 65750 and 65755.
• The two codes should not be used in conjunction with endothelial keratoplasty, CPT code 65756. Instead, use CPT code +65757, which is the separate add-on code for backbench preparation of the endothelial allograft.
• NoRVUs are assigned to these two codes.
• Since these areCategory III codes, payment is at the payer’s discretion.
• For Medicare patients, itis advisable that you obtain an Advance Beneficiary Notice from them and append modifier –GA
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