Ophthalmology and Optometry Coding Alert
No Guidance on Horizon for NPPs
Question: Maine Subscriber Answer: Possible rationale: Several medical associations expressed concern about the new guidelines, saying that practices didn't have enough time to learn all of the regs' nuances in the one-month period between the transmittal's publication (May 2) and the implementation date (June 2). In a May 21 letter to CMS Acting Administrator Kerry Weems, the AMA and the Medical Group Management Association (MGMA) asked CMS to delay the transmittal's implementation and to "reconsider the administratively burdensome and costly documentation requirements" that the transmittal would have required. The rescinded transmittal is available on the CMS Web site at http://www.cms.hhs.gov. -- Advice for You Be the Coder and Reader Questions provided by Maggie M. Mac, CMM, CPC, CMSCS, consulting manager for Pershing, Yoakley and Associates in Clearwater, Fla.
Ophthalmology and Optometry Coding Alert
- Choose the Right E/M or Eye Code to Optimize Reimbursement
Use the 99200 codes for patients with specific problems -- but make sure your documentation [...] - Look to G, V Codes for Medicare Glaucoma Screens
ABN is a must if patient is ineligible for covered testWhen your ophthalmologist performs a [...] - News You Can Use:
Don't Let Modifier 59 Misuse Wreck Your Reimbursement
One carrier reminds practices to heed the rules when separating CCI editsTrying to bypass CCI [...] - Payment Update:
Congress Officially Delays Physician Pay Cuts Until 2010
Lawmakers overturn presidential veto just in timeIf you were starting to break a sweat in [...] - You Be the Coder:
Coding for Mini Glaucoma Shunt
Question: We used to report 66180 when the ophthalmologist implanted a mini aqueous shunt to [...] - Reader Questions:
Never Use E Codes as Primary Diagnoses
Question: I've never really understood E codes and when I should use them. Would you [...] - Reader Questions:
Split Bill for Fundus Photos at SNF
Question: We performed fundus photos on a patient in a skilled nursing facility, and Medicare [...] - Reader Questions:
Append GY to Refraction Claims
Question: A doctor recently told me that appending modifier GY to the refraction code would [...] - Reader Questions:
When Is Redetermination the Best Option?
Question: We performed a service that we know was medically necessary, but the carrier denied [...] - Reader Questions:
No Guidance on Horizon for NPPs
Question: There was recently some discussion on a professional coding listserv about a new incident-to [...]
