Ophthalmology and Optometry Coding Alert
New NCCI Edits Bundle
Reference these new ophthalmologybundles to ensure clean claims The National Correct Coding Initiative has released the following ophthalmology-related bundles effective Jan. 1 through March 31, 2004.
These edits are an attempt by NCCI to "catch up" with the new 2004 CPT codes. These bundles indicate that intravenous injections, catheters and anesthesia are bundled into the new procedure codes.
Use this quick key for easy access to the latest changes involving comprehensive codes 65780 (Ocular surface reconstruction; amniotic membrane transplantation), 65781 (Ocular surface reconstruction; limbal stem cell allograft [e.g., cadaveric or living donor]), 65782 (Ocular surface reconstruction; limbal conjunctival autograft [includes obtaining graft]), and new patient E/M codes 99202 and 99203 (Office or other outpatient visit for the evaluation and management of a new patient ...).
You must bundle components codes on the right column into the comprehensive codes in the left column.
Ophthalmology and Optometry Coding Alert
- Aqueous Shunt Coding 101:
Report 66180 for Drainage Device
Don't let post-op procedures, materials complicate coding Less common than typical glaucoma treatments such as [...] - Quick Key:
New NCCI Edits Bundle
Reference these new ophthalmologybundles to ensure clean claims The National Correct Coding Initiative has released [...] - Use These NCCI 10.0 Edits
The following ophthalmology-related bundles are effective Jan. 1 through March 31, 2004. - Focus on -LT, -RT and -TC Modifiers for A-Scans
Watch out for inconsistencies among your carriers A-scans are some of the most common procedures [...] - Reader Question:
Lift the Lid on Blepharoplasty Coding
Question: Our ophthalmologist performed a blepharoplasty for a Medicare patient. We told her that Medicare [...] - Reader Question:
Take Pressure Off Negative Glaucoma Screening
Question: A patient referred to our office had high intraocular pressure, and the ophthalmologist performed [...] - Reader Question:
Uncomplicate Clouded Cataract Coding
Question: During the postoperative period for cataract surgery on the left eye, one of our [...] - Reader Question:
Don't Get Too Attached to Modifier -58
Question: One of our ophthalmologists performed a retinal detachment repair (67107), and just two weeks [...] - You Be the Coder:
Prove Medical Necessity for Blepharoplasty
Question: Parents brought in a 4-year-old patient referral presenting with ptosis of the right eyelid. [...] - Reader Question:
Get the Red Out on Foreign-Body Dx Codes
Question: A 16-year-old boy presented with a scratchy sensation from a foreign body in his [...] - Reader Question:
Know the ABCs of ABNs
Question: We do lots of pachymetry procedures that are rejected by Medicare, so we have [...]
