Ophthalmology and Optometry Coding Alert
Quick Key:
Get the NCCI 11.1 Lowdown Here
Published on Sat Mar 12, 2005
Check these new ophthalmology bundles and keep your claims clean The National Correct Coding Initiative (NCCI), version 11.1, released the following ophthalmology-related bundles that take effect April 1.
Use this quick key for easy access to the latest changes involving comprehensive code/component code bundles and mutually exclusive bundles.
* Modifier indicator "1" means you may use modifier -59 (Distinct procedural service) to unbundle the procedures, but only under certain circumstances.
Note: To download the complete set of NCCI 11.1 edits, visit www.cms.hhs.gov/physicians/cciedits.
Other Articles in this issue of
Ophthalmology and Optometry Coding Alert
- Break YAG Capsulotomies From Cataract Globals and Earn an Extra $160
Curious coding may kill your cataract reimbursement - documentation and modifiers will leave Medicare purring [...] - NCCI Update:
Brace Yourself for More PDT, FA Bundles
Reporting injections separately will get you nowhere with Medicare If you're thinking about billing some [...] - You Be the Coder:
Multiple Eyelid Lesion Removals
Question: The ophthalmologist removed six lesions from a patient's right upper eyelid in February. In [...] - Avoid a Modifier -25 Rut for Same-Day E/M Services
Modifier -57 is the better bet for more intensive services If your ophthalmologist provides an [...] - Quick Key:
Get the NCCI 11.1 Lowdown Here
Check these new ophthalmology bundles and keep your claims clean The National Correct Coding Initiative [...] - Reader Questions:
Code Intravitreal, Not Intravenous, for PDT
Question: For triamcinolone injections followed by PDT, is it correct to code 67028 (instead of [...] - Reader Questions:
Code Follow-Up ED Patient as Established
Question: An ophthalmologist saw a patient in the emergency department (ED) whom our group had [...] - Reader Questions:
Count Out Conscious Sedation in 2005
Question: I've heard rumors that CPT 2005 bundles conscious sedation into endoscopic procedures. Is there [...] - Reader Questions:
Say Hello and Goodbye to Indicator '9'
Question: What does the "9" in the modifier column of the NCCI edits mean? I [...] - Reader Questions:
Don't Overlook NPPs for Incident-To Services
Question: Should we consider time as a factor when coding for educational or counseling services [...] - Clear Up Glaucoma Coding and Billing Confusion
View All
