Ophthalmology and Optometry Coding Alert
Dont Include Gonioscopy in E/M
Question: What components of a diagnostic glaucoma evaluation are separately billable from the E/M service? Alaska Subscriber Answer: A typical diagnostic examination for glaucoma includes measuring visual acuity, checking the intraocular pressure, gonioscopy, pupil dilation, visual field examination, and optic nerve photography (taking fundus photographs). Of these typical components of a glaucoma exam, gonioscopy, 92020 ( Some carriers only allow visual field to be billed once every six months, but this varies from carrier to carrier. Be sure to consult your carrier's local medical review policies on the frequency of billing these diagnostic tests before assuming you should report them separately.
Ophthalmology and Optometry Coding Alert
- Denied Again for OCT? Not if You Abide by These 5 Rules
Knowing that OCT is reported with the SCODI code won't cut it if you want [...] - Avoid Schirmers Test Denials With This Documentation
Billing for Schirmer's test and getting denied can be aggravating. Understanding how Medicare and private [...] - You Be the Coder:
Dont Include Gonioscopy in E/M
Question: What components of a diagnostic glaucoma evaluation are separately billable from the E/M service? [...] - Professionals Reveal Their Professionals Reveal Their
Don't get mired down deciding on a proper treatment code: Using helpful coding tools will [...] - READER QUESTION:
Count the Days Before Reporting a New Patient
Question: When using the eye code 92004 for a complete exam (new patient), how much [...] - READER QUESTION:
Get Reimbursed for Conductive Keratoplasty
Question: Is there any way we can receive reimbursement for doing a conductive keratoplasty? Texas [...] - READER QUESTION:
Use After-Hours Codes Outside Normal Hours
Question: Our office regularly stays open until 8 p.m. one evening per week. (We usually [...] - READER QUESTION:
Modifier -57 and Minor Procedures Dont Mix
Question: We use modifier -57 on separately identifiable E/M services during which the decision for [...] - READER QUESTION:
Code Pupilloplasty Based on Method
Question: One of our physicians performed a pupilloplasty. What is the correct code for this [...] - READER QUESTION:
Physician Provides Free Telephone Orders
Question: One of our regular patients has moved to a nursing home and is unable [...] - Correction:
Physician Supervision Level for 76519
Thanks to Patricia L. Henry, COT, office manager for C. Allan Henry, MD, in Norfolk [...] - Stop Denials for Visual Fields Performed for Stop Denials for Visual Fields Performed for
Sure, you can look up each individual carriers list of covered diagnosis codes for visual [...] - You Be the Coder:
Solve Chronic E/M Problems
Question: What risk level does a patient with glaucoma qualify for? I'm having trouble figuring [...] - Glaucoma Attacks:
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 [...]
