Unless otherwise noted, all fees apply to single eye. Second eye is billable as per operative surgical fee Preamble, clause D. 5. 3.
For removal of foreign bodies from surface of eye, the appropriate fee item to charge in non-referred cases is one 13610, 13611 or 06063. For properly referred cases it is expected the ophthalmologist will charge only the consultation fee.
The treatment of benign skin lesions for cosmetic reasons, including common warts (verrucae) is not a benefit of the Plan. Refer to Preamble D.9. 2. 4. a. and b. ÒSurgery for the Alteration of Appearance.Ó
Please reference the billing pre-amble for these relevant interpretations of this billing code:See Pre-Amble Notes