Ophthalmology and Optometry Coding Alert

Make sure your medical necessity and surgical approach documentation is ironclad to prevent claims misfires -- here's how. Blepharoptosis repair procedures can bring a lot of revenue into your practice, but coding them can be fraught with danger. Payers are looking for reasons to deny your claim, in the absence of evidence that the ophthalmic surgeon performed the procedure for medical, not cosmetic, reasons. And you may need to study the op note carefully before you can tell just which oculoplastic procedure your surgeon performed. We've outlined the keys for determining the correct CPT® codes for the top-six oculoplastic procedures below. To correctly code oculoplastic surgery on eyelids, you need detailed information about the surgical techniques the ophthalmologist used, as well as the specific anatomic sites involved. Getting a single detail wrong could prove costly to your practice. Many of the blepharoptosis repair codes (67901-67908, Repair of blepharoptosis ...) describe procedures [...]