A physician performed an outpatient surgical procedure on the eye orbit of a Medicare patient. Upon searching the CPT codes and consulting with the physician, the coder is unable to find a code for the procedure. The coder should assign

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Quizplus · Accepted Answer

The coder should assign an unlisted procedure code located in the eye and ocular adnexa section, as this is the most appropriate option given the situation. Unlisted procedure codes are used when there is not a specific code available for the procedure performed. In this case, since the physician performed a surgical procedure on the eye orbit of a Medicare patient and there is not a specific code available for the procedure, the most appropriate option is to use an unlisted procedure code in the eye and ocular adnexa section. This will allow for accurate reporting and reimbursement for the procedure.

A Physician Performed an Outpatient Surgical Procedure on the Eye