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CPC Exam - Question 84


A 32-year-old male has a three-year history of progressive keratoconus in left eye. Glasses and repeated attempts to fit the patient with various types of contact lenses has not helped his vision. Corneal collagen cross-linking is performed to stabilize the cornea in the left eye. Under an operating microscope, corneal epithelium is removed. Riboflavin eye drops are instilled at frequent intervals until the corneal stroma is saturated (approximately 30 minutes). Corneal thickness is assessed using pachymetry, and ultraviolet light is delivered for approximately 30 minutes.

What CPT® coding is reported for this procedure?

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TemituntayoOption: C
Nov 23, 2023

But 65435 says do not report 65435 in conjunction with 0402T so why is it A?

PKP79
Jun 12, 2024

The correct answer is B (0402T: Collagen cross-linking of cornea, including removal of the corneal epithelium, 69990: Microsurgical technique, requiring use of operating microscope)

1aa99b1Option: C
Feb 9, 2025

C. 0402T. reported without procedure codes 65435 guidlines

mathunit1Option: D
Mar 14, 2025

Google results say that the answer is D.

1aa99b1Option: C
Mar 26, 2025

ITS C. DO NOT REPORT 0402T WITH 65435 69990. AND 76514. GUIDLINES