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24.3.22.2 Vitrasert Ganciclovir Implant
Procedure code 2-67027 is a benefit for diagnosis code of 36320, Chorioretinitis, unspecified. Providers must include medical documentation that supports the diagnosis of cytomegalovirus retinitis when they submit a request for authorization and/or a claim for this service. If a provider bills vitrectomy and implantation of implant on the same day, the insertion code is paid and the vitrectomy code payment is denied as part of the other service.
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