Ophthalmology and Optometry Coding Alert
DME Reimbursement:
V2784 Strategies: Look to Modifiers KX, EY for Keys to DME Reimbursement
Keep medical necessity distinct from patient preference in documentation. If you'r... Read more
V2784 Strategies: Look to Modifiers KX, EY for Keys to DME Reimbursement
Keep medical necessity distinct from patient preference in documentation. If you'r... Read more
Diagnosis Coding:
6 Steps Pave the Way to Audit-Hardy Coding
Precise coding doesn't require an overly-detailed coding policy. An ICD-9 coding policy ca... Read more
6 Steps Pave the Way to Audit-Hardy Coding
Precise coding doesn't require an overly-detailed coding policy. An ICD-9 coding policy ca... Read more
CPT 2011 Update:
Check Out 65778-65779 for Amniotic Procedures
Tip: Using tissue glue? Stick with 66999.Eye coders, beware: You've got two new codes for ... Read more
Check Out 65778-65779 for Amniotic Procedures
Tip: Using tissue glue? Stick with 66999.Eye coders, beware: You've got two new codes for ... Read more
News You Can Use:
Congress Boosts Conversion Factor Through Dec. 31
Medicare Physician Fee Schedule rate won't be cut 23 percent.Although the government appea... Read more
Congress Boosts Conversion Factor Through Dec. 31
Medicare Physician Fee Schedule rate won't be cut 23 percent.Although the government appea... Read more
Reader Question:
95930: PAM or VEP?
Question: Is 95930 the correct procedure code for potential visual acuity meter? Can this ... Read more
95930: PAM or VEP?
Question: Is 95930 the correct procedure code for potential visual acuity meter? Can this ... Read more
Reader Question:
Save 368.8 for Secondary Dx
Question Many of our patients claim general reasons for their visit, such as "I can't see ... Read more
Save 368.8 for Secondary Dx
Question Many of our patients claim general reasons for their visit, such as "I can't see ... Read more
Reader Question:
99441-99443: The Hard Truth about Phone Call Pay
Question: Another physician told my ophthalmologist that he's receiving payment from his c... Read more
99441-99443: The Hard Truth about Phone Call Pay
Question: Another physician told my ophthalmologist that he's receiving payment from his c... Read more
Reader Question:
Capture IOL Exchange With 1 Code
Question: What code should I use to report when the ophthalmologist replaces an intraocula... Read more
Capture IOL Exchange With 1 Code
Question: What code should I use to report when the ophthalmologist replaces an intraocula... Read more
Reader Question:
Include ICG Dye in 92240
Question: One of our physicians wants to know if we can bill for indocyanine-green dye. He... Read more
Include ICG Dye in 92240
Question: One of our physicians wants to know if we can bill for indocyanine-green dye. He... Read more
You Be the Coder:
Conjunctival Concretions
Question: I need a CPT code for removal of conjunctival concretions. The ophthalmologist f... Read more
Conjunctival Concretions
Question: I need a CPT code for removal of conjunctival concretions. The ophthalmologist f... Read more
Retinal Repairs:
67108 or 67112? Don't Let Confusion Derail Your Coding for Recurrent Retinal Repairs
Knowing the difference can mean $262 to your practice.Two retinal repair codes top coders'... Read more
67108 or 67112? Don't Let Confusion Derail Your Coding for Recurrent Retinal Repairs
Knowing the difference can mean $262 to your practice.Two retinal repair codes top coders'... Read more
Modifier Basics:
Follow 3 Rules to Capture Separate E/M Pay
Avoid modifier 25 scrutiny with proper 'separately identifiable' documentation.Reporting a... Read more
Follow 3 Rules to Capture Separate E/M Pay
Avoid modifier 25 scrutiny with proper 'separately identifiable' documentation.Reporting a... Read more
Modifier 25 or 57? Use This Handy Tool to Pick the Right Modifier -- Every Time
Your modifier 25 claims should meet all of the following criteria:The E/M occurs on the sa... Read more
Your modifier 25 claims should meet all of the following criteria:The E/M occurs on the sa... Read more
Reader Questions:
Look to 92060 for EOM Function Test
Question: My ophthalmologist wants to code for a "detailed evaluation of EOM function." Th... Read more
Look to 92060 for EOM Function Test
Question: My ophthalmologist wants to code for a "detailed evaluation of EOM function." Th... Read more
Reader Questions :
Let Provider Steer Hospice Modifier
Question: When an ophthalmologist who is a non-hospice provider performs a medical visit... Read more
Let Provider Steer Hospice Modifier
Question: When an ophthalmologist who is a non-hospice provider performs a medical visit... Read more
Reader Questions:
Explore Options for Handling Late or No-Show Patients
Question: We have a few patients who routinely miss appointments or show up late. We'd lik... Read more
Explore Options for Handling Late or No-Show Patients
Question: We have a few patients who routinely miss appointments or show up late. We'd lik... Read more
You Be the Coder:
Coding Conjunctival/Corneal FBR Scenarios
Question: An established patient presents to the ophthalmologist with complaints of pain a... Read more
Coding Conjunctival/Corneal FBR Scenarios
Question: An established patient presents to the ophthalmologist with complaints of pain a... Read more
CPT 2011:
92135 Update: Prepare to Distinguish Between Optic Nerve and Retina Laser Scans
Tip: Your bilateral reporting options may change for SCODI next year. Frustrated by th... Read more
92135 Update: Prepare to Distinguish Between Optic Nerve and Retina Laser Scans
Tip: Your bilateral reporting options may change for SCODI next year. Frustrated by th... Read more
Exam Coding:
Expand Your Coding Options For Patients Refusing Dilation
Tip: You can schedule a second office visit -- but beware this coding stipulationYou ... Read more
Expand Your Coding Options For Patients Refusing Dilation
Tip: You can schedule a second office visit -- but beware this coding stipulationYou ... Read more
E/M:
New or Established? Answer Wrong and It Could Cost You
Remember, what used to be a consultation is now likely a 99201-99215 service. Your oph... Read more
New or Established? Answer Wrong and It Could Cost You
Remember, what used to be a consultation is now likely a 99201-99215 service. Your oph... Read more
Reader Questions:
Prove Necessity for Large Bifocal Segs
Question: I'm really confused about HCPCS codes V2219 and V2319 for Medicare patients. I k... Read more
Prove Necessity for Large Bifocal Segs
Question: I'm really confused about HCPCS codes V2219 and V2319 for Medicare patients. I k... Read more
Reader Questions:
Append GY to Refraction Claims
Question: A doctor recently told me that appending modifier GY to the refraction code woul... Read more
Append GY to Refraction Claims
Question: A doctor recently told me that appending modifier GY to the refraction code woul... Read more
Reader Questions:
Append TC for Baseline Retinal Photos
Question: An ophthalmologist in our practice would like to offer baseline photos, taken wi... Read more
Append TC for Baseline Retinal Photos
Question: An ophthalmologist in our practice would like to offer baseline photos, taken wi... Read more
You Be the Coder:
Cosmetic Ptosis Repair
Question: We have a Medicare patient who will be having a leva to resection on his right e... Read more
Cosmetic Ptosis Repair
Question: We have a Medicare patient who will be having a leva to resection on his right e... Read more
Ophthalmic Trauma Care:
Look to Special Services, E/M Codes for Emergency FB Removals, Laceration Repairs
Is it worth your time to report emergency services separately? The answer may depend... Read more
Look to Special Services, E/M Codes for Emergency FB Removals, Laceration Repairs
Is it worth your time to report emergency services separately? The answer may depend... Read more
E/M Services:
Answer 'Separate' or 'Inherent' Question Before You Use Modifier 25
Not all preprocedure services constitute a separate E/M. When an ophthalmologist performs... Read more
Answer 'Separate' or 'Inherent' Question Before You Use Modifier 25
Not all preprocedure services constitute a separate E/M. When an ophthalmologist performs... Read more
ICD-10:
Make Sure You're Ready: Get the ICD-10 Lowdown With Expert Guidelines
You'll need to implement the new 5010 claim form first to be ready for ICD-10. Whi... Read more
Make Sure You're Ready: Get the ICD-10 Lowdown With Expert Guidelines
You'll need to implement the new 5010 claim form first to be ready for ICD-10. Whi... Read more
Reader Questions:
Routine Exam for Keratoconus Patient
Question: How should I bill for a routine exam with the diagnosis post-keratoplasty in th... Read more
Routine Exam for Keratoconus Patient
Question: How should I bill for a routine exam with the diagnosis post-keratoplasty in th... Read more
Reader Questions:
Tackle Consultations on a Payer-By-Payer Basis
Question: I am still a little confused about the consultation codes 99241- 99245 and 9925... Read more
Tackle Consultations on a Payer-By-Payer Basis
Question: I am still a little confused about the consultation codes 99241- 99245 and 9925... Read more
You Be the Coder:
Bilateral Echography
Question: I'm trying to submit a claim for 76514 performed on both eyes, but I've be... Read more
Bilateral Echography
Question: I'm trying to submit a claim for 76514 performed on both eyes, but I've be... Read more
Myth Buster:
Don't Let These Bilateral Blunders Stall Your Pay for Pre-Cataract Surgery Tests
Improperly coding IOL Masters or A-scans can cost your practice $30 per patient.Calculatin... Read more
Don't Let These Bilateral Blunders Stall Your Pay for Pre-Cataract Surgery Tests
Improperly coding IOL Masters or A-scans can cost your practice $30 per patient.Calculatin... Read more
Consolidated Billing:
3 Simple Steps Put You on the Path to Capturing Payment for Your Nursing Facility Services
Determining whether a patient is in a Part A or Part B stay is your key to proper reimburs... Read more
3 Simple Steps Put You on the Path to Capturing Payment for Your Nursing Facility Services
Determining whether a patient is in a Part A or Part B stay is your key to proper reimburs... Read more
Clip and Save:
Overcome Consolidated Billing Troubles With an SNF Contract
Best bet: Use one for every SNF your provider works withTo receive payment for the technic... Read more
Overcome Consolidated Billing Troubles With an SNF Contract
Best bet: Use one for every SNF your provider works withTo receive payment for the technic... Read more
News You Can Use:
Welcome a 2.2 Percent Medicare Pay Boost For the Rest of This Year -- Finally
But the news isn't all good -- first, you faced a week of lower payments, and second,... Read more
Welcome a 2.2 Percent Medicare Pay Boost For the Rest of This Year -- Finally
But the news isn't all good -- first, you faced a week of lower payments, and second,... Read more
Reader Questions:
Add 67255 for Aqueous Shunt With Graft
Question: My ophthalmologist performed an aqueous shunt but added an additional step. Befo... Read more
Add 67255 for Aqueous Shunt With Graft
Question: My ophthalmologist performed an aqueous shunt but added an additional step. Befo... Read more
Reader Questions:
Include Schirmer's Test in E/M
Question: Can I separately report Schirmer's tests and E/M services? Wisconsin SubscriberA... Read more
Include Schirmer's Test in E/M
Question: Can I separately report Schirmer's tests and E/M services? Wisconsin SubscriberA... Read more
Reader Questions:
Use Most Specific ICD-9 Code for Visual Fields Claims
Question: We keep getting denials for 92082 and 92083 (Visual field examination ...) linke... Read more
Use Most Specific ICD-9 Code for Visual Fields Claims
Question: We keep getting denials for 92082 and 92083 (Visual field examination ...) linke... Read more
You Be the Coder:
Trabeculectomy Revision
Question: I am trying to bill a revision for a trabeculectomy. I coded the initial procedu... Read more
Trabeculectomy Revision
Question: I am trying to bill a revision for a trabeculectomy. I coded the initial procedu... Read more
Diagnostics:
Read This Before Your Next Extended Ophthalmoscopy Claim
Ensure you know what qualifies as an EO, and go beyond routine coding.Most eye exams inclu... Read more
Read This Before Your Next Extended Ophthalmoscopy Claim
Ensure you know what qualifies as an EO, and go beyond routine coding.Most eye exams inclu... Read more
Punctal Plugs:
Follow 3 Steps for Prompt Punctal Plug Payment
Tip: Stress the importance of medical necessity in the documentation to your ophthalmologi... Read more
Follow 3 Steps for Prompt Punctal Plug Payment
Tip: Stress the importance of medical necessity in the documentation to your ophthalmologi... Read more
Reader Questions:
Report TC for VFs Ordered by Outside Doctor
Question: We performed a visual field ordered by a doctor outside our practice. The patien... Read more
Report TC for VFs Ordered by Outside Doctor
Question: We performed a visual field ordered by a doctor outside our practice. The patien... Read more
Reader Questions:
Shun 67312 in This Strabismus Scenario
Question: My ophthalmologist removed a 6.5-mm section of the lateral rectus muscle of a pa... Read more
Shun 67312 in This Strabismus Scenario
Question: My ophthalmologist removed a 6.5-mm section of the lateral rectus muscle of a pa... Read more
Reader Questions:
Include Both Days' Work for Delayed Dilated Exam
Question: How should we handle it when a patient who has come in for a regular eye ex... Read more
Include Both Days' Work for Delayed Dilated Exam
Question: How should we handle it when a patient who has come in for a regular eye ex... Read more
Reader Questions:
Find 'Track or Treat' Evidence for 92285 Claims
Question: Our ophthalmologist performs external ocular photography for a Medicare patient ... Read more
Find 'Track or Treat' Evidence for 92285 Claims
Question: Our ophthalmologist performs external ocular photography for a Medicare patient ... Read more
Reader Questions:
Code Blepharoplasty First in ASC
<!--[if gte mso 9]><xml> Normal 0 false false false EN-US X-NONE X-NONE ... Read more
Code Blepharoplasty First in ASC
<!--[if gte mso 9]><xml> Normal 0 false false false EN-US X-NONE X-NONE ... Read more
Reader Questions:
Focus on 66985 for Secondary Implant
Question: A patient is going to have a secondary IOL implant. Is 66985 the right code? Wha... Read more
Focus on 66985 for Secondary Implant
Question: A patient is going to have a secondary IOL implant. Is 66985 the right code? Wha... Read more
Reader Questions:
Make Sure Your EHR Passes PQRI Muster
Question: We have been participating in the physician quality reporting initiative (PQRI),... Read more
Make Sure Your EHR Passes PQRI Muster
Question: We have been participating in the physician quality reporting initiative (PQRI),... Read more
You Be the Coder:
Trabeculectomy Revision
Question: I am trying to bill a revision for a trabeculectomy. I coded the initial procedu... Read more
Trabeculectomy Revision
Question: I am trying to bill a revision for a trabeculectomy. I coded the initial procedu... Read more
CPT:
Focus on These 6 Tips to Boost Contact Lens Revenue
Supply codes, tech assistance, and host of other options help you report more accurate cla... Read more
Focus on These 6 Tips to Boost Contact Lens Revenue
Supply codes, tech assistance, and host of other options help you report more accurate cla... Read more
FBR:
Are These 5 Myths Fouling Up Your FBR Claims?
Hint: Don't treat punctal plugs like foreign bodies.Even more irritating than having somet... Read more
Are These 5 Myths Fouling Up Your FBR Claims?
Hint: Don't treat punctal plugs like foreign bodies.Even more irritating than having somet... Read more
Reader Questions:
Conduct 3 Tests Before Coding Diurnal Curve Encounters
Question: Is there a code for "diurnal curve testing" for glaucoma, during which the ophth... Read more
Conduct 3 Tests Before Coding Diurnal Curve Encounters
Question: Is there a code for "diurnal curve testing" for glaucoma, during which the ophth... Read more
Reader Questions:
Don't Rely on 58 for In-Office Complication Treatment
Question: One week ago, an ophthalmologist in our practice performed a trabeculectomy on a... Read more
Don't Rely on 58 for In-Office Complication Treatment
Question: One week ago, an ophthalmologist in our practice performed a trabeculectomy on a... Read more
Reader Questions:
Try 64612 for Botox for Blepharospasm
Question: How should I code for Botox injections to control blepharospasm?Tennessee Subscr... Read more
Try 64612 for Botox for Blepharospasm
Question: How should I code for Botox injections to control blepharospasm?Tennessee Subscr... Read more
Reader Questions:
Modify Eye Codes Just Like E/M Codes
Question: I just started working in an ophthalmologist's office and I have a question abou... Read more
Modify Eye Codes Just Like E/M Codes
Question: I just started working in an ophthalmologist's office and I have a question abou... Read more
Reader Questions:
Look to Face Time When Reporting Established Patient
Question: Our practice performed a visual field test on a patient who was referred to us b... Read more
Look to Face Time When Reporting Established Patient
Question: Our practice performed a visual field test on a patient who was referred to us b... Read more
Reader Questions:
Report E/M for Follow-Up Exams After FB Removal
Question: One of our ophthalmologists uses a slit-lamp to check on healing after a foreign... Read more
Report E/M for Follow-Up Exams After FB Removal
Question: One of our ophthalmologists uses a slit-lamp to check on healing after a foreign... Read more
You Be the Coder:
Corneal Limbal Relaxation
Question: One of our doctors has started performing the corneal limbal relaxing procedure ... Read more
Corneal Limbal Relaxation
Question: One of our doctors has started performing the corneal limbal relaxing procedure ... Read more
Cataracts:
Break Down Your Coding for Best PC-IOL Payments
Medicare won't cover the full cost, but splitting the bill into covered and non-covered po... Read more
Break Down Your Coding for Best PC-IOL Payments
Medicare won't cover the full cost, but splitting the bill into covered and non-covered po... Read more
When Is Cataract Removal 'Complex'?
Don't miss these 66982 coding clues that could earn your practice over $270.When an ophtha... Read more
Don't miss these 66982 coding clues that could earn your practice over $270.When an ophtha... Read more
Diagnostics:
Appending Modifier 50 to 92250? Not So Fast
4 strategies help you snap up your rightful fundus photo pay with bundling, dx know-how.Ad... Read more
Appending Modifier 50 to 92250? Not So Fast
4 strategies help you snap up your rightful fundus photo pay with bundling, dx know-how.Ad... Read more
ICD-10:
Bust ICD-10 Myths With Expert Answers
Hint: You will be able to find hard copy ICD-10 books -- and dozens of new cataract c... Read more
Bust ICD-10 Myths With Expert Answers
Hint: You will be able to find hard copy ICD-10 books -- and dozens of new cataract c... Read more
Reader Questions:
Don't Treat Rust Rings as Foreign Bodies
Question: Our ophthalmologist removed a rust ring from a patient's central cornea, using a... Read more
Don't Treat Rust Rings as Foreign Bodies
Question: Our ophthalmologist removed a rust ring from a patient's central cornea, using a... Read more
Reader Questions:
Find a World of Difference Between XXX and 000 Globals
Question: What's the difference between an "XXX" global period and a "000" global period? ... Read more
Find a World of Difference Between XXX and 000 Globals
Question: What's the difference between an "XXX" global period and a "000" global period? ... Read more
You Be the Coder:
Does Old BB-Gun Injury Have Bearing on Coding?
Question: We have a patient who came in for a routine eye exam, but reported retinal damag... Read more
Does Old BB-Gun Injury Have Bearing on Coding?
Question: We have a patient who came in for a routine eye exam, but reported retinal damag... Read more
CCI 16.1 Update:
Watch for Keratoplasty Bundles or Risk Losing Over $1000 in Pay
April also brings changes to your OCT and wound repair coding. If your practice has been ... Read more
Watch for Keratoplasty Bundles or Risk Losing Over $1000 in Pay
April also brings changes to your OCT and wound repair coding. If your practice has been ... Read more
3 Steps Help Resolve 'Medical vs. Vision' Insurance Coding Mixups
When your patient has both types of insurance, who gets the bill? Let the reason for the ... Read more
When your patient has both types of insurance, who gets the bill? Let the reason for the ... Read more
Clip and Save:
Endothelial Keratoplasty CCI Edits at a Glance
Get up-to-date with a complete list of Correct Coding Initiative (CCI) edits affecting cod... Read more
Endothelial Keratoplasty CCI Edits at a Glance
Get up-to-date with a complete list of Correct Coding Initiative (CCI) edits affecting cod... Read more
Reader Questions:
Is Routine Reporting of 92002, V72.0 OK?
Question: Our office has been coding exams (routine exams) as 92002 and V72.0 when we don... Read more
Is Routine Reporting of 92002, V72.0 OK?
Question: Our office has been coding exams (routine exams) as 92002 and V72.0 when we don... Read more
Reader Questions:
Use Patient Complaint for FBR Coding
Question: The ophthalmologist saw a patient yesterday who had a conjunctival foreign body... Read more
Use Patient Complaint for FBR Coding
Question: The ophthalmologist saw a patient yesterday who had a conjunctival foreign body... Read more
Reader Questions:
Append GA for Low-Risk Glaucoma Screenings
Question: Our office sometimes performs glaucoma screenings for patients who don't meet M... Read more
Append GA for Low-Risk Glaucoma Screenings
Question: Our office sometimes performs glaucoma screenings for patients who don't meet M... Read more
Reader Questions:
Apply Initial EO Code to New Condition
Question: I'm confused about the extended ophthalmoscopy codes. Is 92225 for a new patien... Read more
Apply Initial EO Code to New Condition
Question: I'm confused about the extended ophthalmoscopy codes. Is 92225 for a new patien... Read more
Reader Questions:
Monitor Drug Effects
Question: A primary-care physician instructed one of our patients to see an eye doctor a... Read more
Monitor Drug Effects
Question: A primary-care physician instructed one of our patients to see an eye doctor a... Read more
You Be the Coder:
Test Confirms Pseudostrabismus Dx
Question: What ICD-9 code should I report for a diagnosis of pseudostrabismus? Arizona Su... Read more
Test Confirms Pseudostrabismus Dx
Question: What ICD-9 code should I report for a diagnosis of pseudostrabismus? Arizona Su... Read more
This Bilateral Strabismus Coding Trick Can Save You Almost $160 Per Procedure
Check the Medicare fee schedule for important bilateral coding guidelines for 673xx. Code... Read more
Check the Medicare fee schedule for important bilateral coding guidelines for 673xx. Code... Read more
You Be the Expert:
Aim for Proper Ametropia ICD-9 Code
Question: Which ICD-9 code should I report for ametropia? Kansas Subscriber Answer: The a... Read more
Aim for Proper Ametropia ICD-9 Code
Question: Which ICD-9 code should I report for ametropia? Kansas Subscriber Answer: The a... Read more
Watch Key Conditions to Scratch Eye Allergy Coding Itch
Get the specifics on eye irritation to find the most accurate diagnosis code. The spring ... Read more
Get the specifics on eye irritation to find the most accurate diagnosis code. The spring ... Read more
Let These 4 Tips Guide Your E/M Choice
You can still have multiple docs with modifier AI. Get used to a two-tiered system for 20... Read more
You can still have multiple docs with modifier AI. Get used to a two-tiered system for 20... Read more
Reader Question:
Describe Graft Revision With 66250
Question: After a pterygium removal, the patient's conjunctival allograft dislocated. The... Read more
Describe Graft Revision With 66250
Question: After a pterygium removal, the patient's conjunctival allograft dislocated. The... Read more
Reader Question:
Wait for Path Report for Eye Lesion Dx
Question: I'm having trouble with a diagnosis code for a lesion removal. The ophthalmolog... Read more
Wait for Path Report for Eye Lesion Dx
Question: I'm having trouble with a diagnosis code for a lesion removal. The ophthalmolog... Read more
Reader Question:
Make Sure Mod 59 Applies for Bleph Repair
Question: Our ophthalmic surgeon performed a levator resection (67904), an entropion repa... Read more
Make Sure Mod 59 Applies for Bleph Repair
Question: Our ophthalmic surgeon performed a levator resection (67904), an entropion repa... Read more
Reader Question:
Document Chief Complaint for Glaucoma Follow-Up
Question: How should I code an office visit for a wheelchair-bound nursing home patient w... Read more
Document Chief Complaint for Glaucoma Follow-Up
Question: How should I code an office visit for a wheelchair-bound nursing home patient w... Read more
3 Details Help You Pinpoint 67840, 11440-11446, 11640-11646 Lesion Removal Code
Missing this advice could cut $95 from your reimbursement for excisions. When your oph... Read more
Missing this advice could cut $95 from your reimbursement for excisions. When your oph... Read more
Quickly Choose Between Skin and Margin Codes
Tip: This chart tells you if you're in integumentary or surgery territory. You can cut yo... Read more
Tip: This chart tells you if you're in integumentary or surgery territory. You can cut yo... Read more
Boost 92135 Pay With This Insider Advice
Get expert answers for your most common SLGT coding questions. If your ophthalmologists a... Read more
Get expert answers for your most common SLGT coding questions. If your ophthalmologists a... Read more
News You Can Use:
CMS to Issue More Guidance on Consult Code Replacements
Best bet: Follow local guidance until more detailed info comes from Medicare. If you've b... Read more
CMS to Issue More Guidance on Consult Code Replacements
Best bet: Follow local guidance until more detailed info comes from Medicare. If you've b... Read more
Reader Question:
Look to Superficial FBR With Irrigation
Question: A new patient who had been taking down Christmas tree lights from his house the... Read more
Look to Superficial FBR With Irrigation
Question: A new patient who had been taking down Christmas tree lights from his house the... Read more
Reader Question:
Use Severity to Diagnose Diabetic Retinopathy
Question: A patient with nonproliferative diabetic retinopathy reports to the ophthalmolo... Read more
Use Severity to Diagnose Diabetic Retinopathy
Question: A patient with nonproliferative diabetic retinopathy reports to the ophthalmolo... Read more
Reader Question:
Link 92250 to Ophthalmic Manifestation
Question: We submitted a claim for 99204 and 92250 to Medicare. The diagnosis code for bo... Read more
Link 92250 to Ophthalmic Manifestation
Question: We submitted a claim for 99204 and 92250 to Medicare. The diagnosis code for bo... Read more
Reader Question:
Report Humphrey 10-2 Test as 'Extended' VF
Question: We now use 92083 for a 30-2 visual field. We think we should also be using 9208... Read more
Report Humphrey 10-2 Test as 'Extended' VF
Question: We now use 92083 for a 30-2 visual field. We think we should also be using 9208... Read more
Reader Question:
Make Your Case for Separate Iris Suture
Question: We have a patient who underwent both 66682 and 66982. The insurance company is ... Read more
Make Your Case for Separate Iris Suture
Question: We have a patient who underwent both 66682 and 66982. The insurance company is ... Read more
Reader Question:
Avoid J2001 for Minor In-Office Procedures
Question: Is there a code we should bill for subcutaneous lidocaine or lidocaine with epi... Read more
Avoid J2001 for Minor In-Office Procedures
Question: Is there a code we should bill for subcutaneous lidocaine or lidocaine with epi... Read more
You Be the Coder:
Gold Lid Weight Insertion
Question: How would I code for insertion of gold eyelid weights to correct lagophthalmos?... Read more
Gold Lid Weight Insertion
Question: How would I code for insertion of gold eyelid weights to correct lagophthalmos?... Read more
Rejoice in Return to J9035 for Intraocular Avastin Injections
You can cross out Q2024 -- just three months after its debut. If you haven't adjuste... Read more
You can cross out Q2024 -- just three months after its debut. If you haven't adjuste... Read more
Get to Know Payer Specifics for Gonioscopy
3 FAQs clear up your 92020 coding to improve your claims' success. With only one code for... Read more
3 FAQs clear up your 92020 coding to improve your claims' success. With only one code for... Read more
Boost E/M Level with Techs' Work
The OIG is watching, so be sure to meet the incident-to standard. If an auditor comes kno... Read more
The OIG is watching, so be sure to meet the incident-to standard. If an auditor comes kno... Read more
CMS's Refusal to Pay Consults Makes MSP Claims a Headache
If you bill 99241-99255 to private payers, good luck getting Medicare secondary balance. ... Read more
If you bill 99241-99255 to private payers, good luck getting Medicare secondary balance. ... Read more
READER QUESTIONS:
Is Exophthalmometry Included in Eye Code?
Question: Is there a CPT code for exophthalmometry? Georgia Subscriber Answer: CPT consid... Read more
Is Exophthalmometry Included in Eye Code?
Question: Is there a CPT code for exophthalmometry? Georgia Subscriber Answer: CPT consid... Read more
READER QUESTIONS:
Don't Add Eyelid Lesion Sizes
Question: The ophthalmologist removed six lesions from a patient's right upper eyelid in ... Read more
Don't Add Eyelid Lesion Sizes
Question: The ophthalmologist removed six lesions from a patient's right upper eyelid in ... Read more
READER QUESTIONS:
Shun 65772 for Corneal Limbal Relaxation
Question: One of our doctors has started performing the corneal limbal relaxing procedure... Read more
Shun 65772 for Corneal Limbal Relaxation
Question: One of our doctors has started performing the corneal limbal relaxing procedure... Read more
READER QUESTIONS:
Breathe a Sigh of Relief for Conversion Factor
Question: I'm very confused about what Medicare will pay for ophthalmology physician serv... Read more
Breathe a Sigh of Relief for Conversion Factor
Question: I'm very confused about what Medicare will pay for ophthalmology physician serv... Read more
You Be the Coder :
Repeat YAG Capsulotomy
Question: The doctor performed a YAG laser capsulotomy. Six months later, during a return... Read more
Repeat YAG Capsulotomy
Question: The doctor performed a YAG laser capsulotomy. Six months later, during a return... Read more