Advanced Search

Revenue Cycle Insider

Optometry/Ophthalmology Coding:

Investigate This Bilateral IOL Calculation Coding Conundrum

Published on Mon Dec 30, 2024

You’ve reached your limit of free articles. Already a subscriber? Log in.

Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:

Simple explanations of current healthcare regulations and payer programs
Real-world reporting scenarios solved by our expert coders
Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
Instant access to every article ever published in Revenue Cycle Insider
6 annual AAPC-approved CEUs
The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

December 2024

Oncology Coding:
Define the Difference Between Diagnostic Bone Marrow Procedures
Question: When I read an op note for a bone marrow procedure, I’m confused about the [...]

ICD-10-CM Coding:
Don’t Bang Your Head in Frustration Over This Headbanging
Question: I’m reading encounter notes for a patient who presented with neck pain after an energetic [...]

General Coding:
Explore +G2211 Usage Past and Yet to Come
Hint: Going forward, modifier 25 can be in play. The road to reimbursement for services [...]

Pulmonology Coding:
Identify and Report Different Emphysema Conditions With This Refresher
Find out how to code paraseptal emphysema. Chronic obstructive pulmonary disease (COPD) is a lung [...]

Compliance:
Beware Dangers of Precharting
Question: What are some of the potential downsides of a provider filling in some parts [...]

Optometry/Ophthalmology Coding:
Investigate This Bilateral IOL Calculation Coding Conundrum
Question: I have an operative note that mentions the physician performed a bilateral intraocular lens [...]

Path/Lab Coding:
Focus on These 4 Lymph-Node FNA Pathology Exam Tips
Check out this case study to see if your coding is on point. Physicians may [...]

Neurology & Pain Management Coding:
Dig Deep for Details on Post-Traumatic Headache
Question: When encounter notes indicate that a patient is suffering from a post-traumatic headache, what [...]

Anesthesia Coding:
Rekindle Your Memory by Revisiting the Year’s Important Topics
Review valuable coding updates of 2024 to prepare for 2025. Whether you’re a novice or [...]

Optometry/Ophthalmology Coding:
Learn How to Report Eyelid Retraction Correctly
Question: A patient presented to their ophthalmologist with severe discomfort and dryness in their left [...]

Neurology & Pain Management Coding:
Choose Single Dx Code for This Pain Syndrome
Question: When a patient suffers from chronic pain syndrome (CPS), what exactly does that mean? [...]

Diagnostic Radiology Coding:
Know What Makes up a 3-Phase Study
Question: We had a patient visit our radiology clinic for bone and joint imaging of [...]

Diagnostic Radiology Coding:
Build Your Bimalleolar Fracture Coding Knowledge
Question: I have a radiology report where the radiologist’s findings are listed as a displaced [...]

Primary Care Coding:
Pay Attention to Code Descriptor for This Z Code
Question: In what situation should I include ICD-10-CM code Z79.899? A lot of the patients [...]

Practice Management:
Consider Government Scrutiny Before Offering Gift Cards
Question: Are doctors’ offices allowed to give out gift cards or other gift-type incentives for [...]

General Coding:
Count Face-to-Face Time Only Once
Question: If a patient comes in for a follow-up and sees a nurse practitioner (NP), [...]

Urology Coding:
Explore These Laparoscopic Nephrectomy Codes
Question: The urologist prepared the patient by positioning them face down and sterilizing the surgical site. [...]

Diagnostic Radiology Coding:
Separate Cirrhosis From an Abnormal Mass With Liver Scans
Find out if you know what ‘static only’ means. Patients who present with upper-right abdominal [...]

Neurology & Pain Management Coding:
Target These Areas for Can’t-Miss TPI Claims
PM provider must list muscles injected for proper coding. Patients will often report to pain [...]

Pediatric Coding:
Clear Up Conjunctivitis Coding Practices
Use these tips to distinguish between codes for viral, bacterial, and allergic conjunctivitis. Conjunctivitis, better [...]

Oncology Coding:
Use These Keys to Unlock Breast Cancer Coding (Part 2)
Take this advice, take your breast cancer coding to the next level. In the

Optometry/Ophthalmology Coding:
Get Familiar With Coding Goniotomy Procedures
Find out when you need to turn to Category III codes. Recently, there have been [...]

Neurosurgery Coding:
Keep Hematoma, Seroma Straight With This Dx Advice
Question: While recovering from a craniotomy, the patient suffers a “brain hematoma,” according to the [...]

Neurosurgery Coding:
Count Segments on Osteotomy Claim
Question: Encounter notes indicate that the neurosurgeon treated a patient with thoracic postural kyphosis. From [...]

E/M Coding:
Lean on E/M Codes for Outpatient Enema
Question: If a provider performs an enema as an outpatient procedure in the office, is [...]

Compliance:
Avoid FCA Problems by Coding What’s Documented
Question: I’m a new hire at a practice that primarily sees patients concerned they have [...]

Medicare Regulations:
Find Out Which Beneficiary Counseling Situations May Be Reimbursed
Question: Which Medicare beneficiaries qualify for tobacco cessation counseling? Alabama Subscriber Answer: The Center for Medicare & [...]

Oncology Coding:
Take This Nonneoplastic Infusion Coding Advice
Question: I am being instructed to code Z51.12 for a patient seen in our infusion [...]

ICD-10-CM Coding:
Refresh Your Winter Virus Coding Knowledge With These FAQs
Hint: Sometimes a clinician’s judgement provides as much confirmation as a test result. It’s winter [...]

Urology Coding:
Check Your Catheter Coding Skills
Focus on technique and placement is key. It’s crucial to meticulously review the medical records [...]

General Surgery Coding:
Test Your Appendectomy Knowledge
Missing modifiers could cost your practice. Determining how to correctly code procedures from your general [...]

Cardiology Coding:
Overcome the Challenges of Coding for Conduction System Pacing
Location over function leads code selection for his bundle and left bundle branch pacing. As [...]

Neurosurgery Coding:
Documentation Details Are Vital on These Neurological Diagnoses
Some codes include character options for laterality and anatomy. One of the most important parts [...]

Otolaryngology Coding:
Override This Guideline for Provider-Identified Influenza
Question: A patient reported to our practice with fever, muscle pain, sore throat, earache, cough, [...]

Podiatry Coding:
Warm Up Your Winter Injury Coding With 3 Cases
Find out if you need to report activity codes. Snow, ice, and cold temperatures can [...]

Cardiology Coding:
Credentials May Matter for EKG Readings
Question: Can I report 93000-93010 when a nonphysician practitioner (NPP) produces a reading of an [...]

Podiatry Coding:
Stabilize Your Plantar Fasciitis Coding Knowledge
Question: An established patient presented to their podiatrist for treatment of their plantar fasciitis. The [...]

General Coding:
Appending Modifier 22? Add an Explanation
Question: Do you have any tips for getting claims paid when the procedure code is [...]

Pediatric Coding:
Look to Encounter Reason for Primary Diagnosis
Question: Our provider saw a patient whose appointment was scheduled to discuss the patient not [...]

Podiatry Coding:
Remember the 6th Character When Coding Joint Effusion Dx
Question: I have a medical record that lists the diagnosis as “effusion of the left [...]

E/M Coding:
Code Cerumen Encounter Based on Method of Removal
Question: Are multiple procedure codes required for a physician to both diagnose and treat cerumen [...]

Cardiology Coding:
Become Familiar With Acronyms Surrounding Heart Failure
Question: There are so many acronyms pertinent to cardiology! What’s the difference between the acronyms [...]

Otolaryngology Coding:
Let Guidelines Lead You to Correct Long COVID Reporting
Question: What is long COVID, how is it coded, and how does that differ from [...]

Emergency Department Coding:
Don’t Slip and Miss This Reportable Fracture Tx
Question: A patient reports to the emergency department (ED) after slipping and falling off the [...]

Medicare Regulations:
Don’t Use an ABN to Counteract a MUE
Question: Is it ever appropriate to fill out an advance beneficiary notice (ABN) form for [...]

General Surgery Coding:
Drain the Confusion From This Pleural Drainage Procedure
Question: Our surgeon wrote an op note in which they drained pleural fluid and performed a [...]

Gastroenterology Coding:
Pinpoint the Correct Peptic Ulcer of Esophagus Code
Question: I have a gastroenterologist’s report that lists the diagnosis as “peptic ulcer of the [...]

Otolaryngology Coding:
FESS Up to Endoscopic Sinus Surgery Coding Confusion
Don’t forget to pay attention to combo codes and descriptors. Coding for functional endoscopic sinus [...]

Gastroenterology Coding:
Does G-Tube Removal Have a Designated CPT® Code?
Question: A patient presented to a gastroenterology practice for removal of the patient’s gastrostomy tube [...]

General Surgery Coding:
Clarify Venipuncture Code Variances
Question: What are the differences between venipuncture codes 36400-36410, 36420-36425, and 36415 other than the age [...]

Emergency Department Coding:
Don’t Let Typhoid Dx Options Overwhelm You
Question: A patient who returned from an overseas trip a week ago reports to the [...]

Anesthesia Coding:
Use Correct Modifier to Specify Medical Supervision
Question: I’m hoping you can help me with understanding medical direction versus medical supervision. All [...]

ICD-10-CM Coding:
Stay on Top of Code Updates
Question: I’ve been using code F50.8- pretty regularly for years, but I tried to use [...]

Emergency Department Coding:
Follow These Steps to Correct ED Arthrocentesis Coding
Labs, X-rays could be part of ED E/M. Arthrocentesis, commonly known as joint drainage or [...]

Technology & Innovation:
Don’t Rest on MFA Protections
Question: Our IT team requires us to use multifactor authentication (MFA) for all logins throughout [...]

Pediatric Coding:
Look to Modifier 59 for This Combination Test
Question: When our practice tests one patient for flu A and flu B simultaneously, we bill [...]

Ob-Gyn Coding:
Adopt These Subtle but Extensive E/M Changes Before January 1 Hits
Say goodbye to 99441 through 99443 next year. When CPT® 2025 becomes effective on Jan. 1, [...]

Technology & Innovation:
Precisely View at all Distances With IOLs
Question: I’ve recently heard of intraocular lenses (IOLs) to treat patients with vision difficulties. What [...]

Primary Care Coding:
Find Medication Source to Bill Injections Correctly
Question: When a patient comes to one of our providers for an injection, does the [...]

Practice Management:
Don’t Change a Lab Order Without Authorization
Question: Our practice is submitting claims for lab orders and they keep getting denied. Our [...]

Gastroenterology Coding:
How Well Do You Know the Top 5 Gastroenterology Codes?
Refresh your knowledge of 91200, 91065, 91110, 91010, and 91122. You don’t have to memorize [...]

Urology Coding:
Figure Out This Foreign Body Removal With Urethrotomy
Question: During the procedure, my urologist made an attempt to remove a foreign object that was [...]

Ob-Gyn Coding:
Learn How to Report Simple Skinning Vulvectomy
Question: I have a procedure that has me wondering if it meets the requirement for a [...]

Ob-Gyn Coding:
When You Should Start the Ob Record
Question: My ob-gyn saw a patient who knows that she’s pregnant via a positive home [...]

Primary Care Coding:
Get to Know the New Obesity-Designated-by-Class Codes
Go beyond documentation to help end the stigmatization of your obese patients. On Oct. 1, [...]

Orthopedic Coding:
Follow These Steps to Osteoarthritis Dx Success
Question: I am new to orthopedic coding; only on the job six months. One of [...]

Technology & Innovation:
Everything You Need to Know About Participating in the TEFCA
TEFCA allows for secure information sharing between health information networks. A reliable, secure way to [...]

Orthopedic Coding:
Check Approach, Then Code Kyphosis Treatment
Question: Encounter notes indicate the surgeon performed spinal arthrodesis for a patient suffering from cervicothoracic [...]

Orthopedic Coding:
Know Joint Size on Arthrocentesis Codes
Small, medium, or large? Deciding might not be so easy. When patients report to the [...]

Medicare Regulations:
Explore Whether Your Medicare Claims are at Risk
Federal agencies uncovered double payments after providers billed Medicare and the VA. A recent Office [...]

Anesthesia Coding:
Understand Context for Using GC Modifier
Question: Can you tell me if a GC modifier for residents is only required by [...]

Path/Lab Coding:
Distinguish Bone Codes for Accurate Payment
Question: Our pathologist examines many specimens of bones, joints, and various bony fragments from an [...]

Path/Lab Coding:
Get Ready for CRC Screening Under 2025 Medicare Rules
Question: I’ve heard there are recent changes to Medicare coverage for colorectal cancer (CRC) screenings. [...]

E/M Coding:
Could You Be Accused of Upcoding for Your Level 4 E/M Code Selections?
Hint: Never forget medical necessity when selecting codes. Ever since the evaluation and management (E/M) [...]

Practice Management:
Prep Your Holiday Schedule With 5 Proven Fee-for-Time Billing Tips
Accurately collect for these fill-in providers, previously called locum tenens. With the holiday season approaching, [...]

Compliance:
Find 4 More Crucial Elements to Boost Your Compliance Program
Tip: A log of issues is a means of troubleshooting — and insurance. CJ Wolf, [...]

Pulmonology Coding:
Know How to Identify Pleural Infection Codes
Question: A pulmonologist in a private practice saw a patient who was experiencing chest pain, cough, [...]

Pulmonology Coding:
Find Out What Critical Care Services Include
Question: I have a medical record that indicates the pulmonologist performed critical care services for a [...]

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.