Ophthalmology and Optometry Coding Alert
AAO Challenges BCBS SCODI Policy
The American Academy of Ophthalmology has finally confronted Blue Cross and Blue Shield for its frequent claim denials that categorize scanning computerized ophthalmic diagnostic imaging (SCODI) as "experimental" and the results of that confrontation hold big implications for ophthalmology coders. The pressure applied by the AAO resulted in coverage for SCODI, CPT code 92135 (Scanning computerized ophthalmic diagnostic imaging [e.g., scanning laser] with interpretation and report, unilateral), in 13 states: Arkansas, Colorado, Connecticut, Delaware, Maine, Maryland, Missouri, Nevada, New Hampshire, New Jersey, New York (Empire), Oregon and West Virginia, according to the AAO April Washington Report.
Ophthalmology and Optometry Coding Alert
- Find Your Way to Foolproof Fundus Photography Reimbursements
How you handle fundus photography claims today could affect the outcome of your next audit. [...] - CCI Edits 8.2 Clear Up Cloudy Cataract Coding
Coders have been back and forth over the rules for billing iridectomies, trabeculectomies, and anterior [...] - CCI 8.2 Update:
Dont Come Apart Over Abundant Bundling
The Correct Coding Initiative 8.2 edits have arrived, and while the number of new bundles [...] - You Be the Coder:
Ocular Photodynamic Therapy
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Simplifying Complex Cataract Coding Is Worthwhile
When CMS recognized the new CPT code for complex cataract surgery, 66982, its intention was [...] - Late-Breaking News:
AAO Challenges BCBS SCODI Policy
The American Academy of Ophthalmology has finally confronted Blue Cross and Blue Shield for its [...] - CMS Sees to Establishing Low-Vision National Coverage
The Centers for Medicare and Medicaid Services (CMS) announced May 29 that physician-prescribed rehabilitation services [...] - AAO Pressures CMS for E/M Decisions
The AAO, supported by the American Medical Association, urged CMS on May 17 to re-evaluate [...] - Reader Question:
Follow-Up Surgery
Question: Our physician often injects 5FU following a trabeculectomy. How can I code the injection [...] - Reader Question:
Laser Suture Removal
Question: One of our physicians recently performed a suture removal following a trabeculectomy. She insists [...] - Reader Question:
Endoscopic Cilliary Photocoagulation
Question: My physician is planning to perform endoscopic cilliary photocoagulation, but I cannot decide how [...] - Reader Question:
Postoperative Suture
Question: A patient presented with an open wound that our physician prepped and sutured shut. [...]
