Ophthalmology and Optometry Coding Alert
Push for IOP Payment
Question: Arkansas Subscriber Answer: If the patients intraocular pressure (IOP) is being monitored because the patient has chronic glaucoma, you can definitely bill the postoperative visit separately because a glaucoma check is not considered related to cataract surgery. You should include a primary diagnosis code of glaucoma and link it to the service code, and bill the glaucoma visit with modifier -24 ( On the other hand, if the patients IOP is being checked because it has increased as a result of the cataract surgery, this service is considered related to the cataract surgery and is therefore considered included in the global surgery fee for the initial procedure. Under these circumstances, you should not bill the IOP check separately. Dont make the mistake of under-documenting services that you are billing separately during a global period. If the documentation doesnt clearly identify the postoperative visit as unrelated to the surgery, you are asking for trouble in the event of an audit. .
Ophthalmology and Optometry Coding Alert
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Physician Supervision Level for 76519
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Solve Chronic E/M Problems
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One Code Does the Trick
Dont let the abundance of guidelines for the prolonged services codes deter you from reporting [...] - READER QUESTION:
Push for IOP Payment
Question: Can we bill separately for checking a patients IOP when it is being checked [...] - READER QUESTION:
Stick to V Codes for Screenings
Question: If an eligible patient presents for a glaucoma screening, and testing reveals increased intraocular [...] - READER QUESTION:
Separate Needling From Post-Op With -78
Question: My ophthalmologist performed a needling procedure during the postoperative period of a trabeculectomy to [...]
