Optometry Coding & Billing Alert
Relax: No News Is Good News For Optometrists
Heads-up if you are reporting these G codes The latest batch of coding edits takes effect on July 1 - but optometry coders can relax, since none of the procedures ODs typically perform are affected.
The same is not true for most other specialties, however, as drug delivery codes are bundled into more than 4,000 surgical procedures.
HCPCS codes G0351 (Therapeutic or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular), G0353 (Intravenous push, single or initial substance/drug) or G0354 (Each additional sequential intravenous push [list separately in addition to code for primary procedure]) are now declared an intrinsic part of more than 250 eye surgery and ophthalmological services codes, according to the latest set of bundles from the National Correct Coding Initiative.
Note: To download the complete set of NCCI 11.2 edits, visit www.cms.hhs.gov/physicians/cciedits.
Optometry Coding & Billing Alert
- Conquer the Pre-Blepharoplasty Visual Field Coding Conundrum
"Stop throwing away $20 every time you do two VFs for a carrier that only [...] - NCCI 11.2 Update:
Relax: No News Is Good News For Optometrists
Heads-up if you are reporting these G codes The latest batch of coding edits takes [...] - Rely on These VF Diagnosis Codes
Prove the procedure isn't cosmetic with 368.40 and more Medicare is very picky about paying [...] - Split the Bill for Full Payment For OD's SNF Visits
Part B may not cover the full service - are you responsible for the rest? [...] - Steer Clear of SNF Billing Snafus by Taking 4 Steps
Our contract will help ODs sniff out full payment from nursing facilitiesDealing with consolidated billing [...] - Use This Sample Contract for SNF Visits
Take two copies of this contract on every SNF visit - one to keep for [...] - You Be the Expert:
Does Complaint Justify Eye Exam?
Question: I had a patient with eye pain and I found a lash that was [...] - Reader Questions:
Use 54 to Unlock Post-Op Pay
Question: We're having trouble filing for postoperative care for a YAG. How should we code [...] - Reader Questions:
Include Cost of Report With Consult Code
Question: Can an optometrist bill for a written report to the physician who originally referred [...] - Reader Questions:
Pack Both Eyes Into Pachymetry
Question: I am not clear on how to bill pachymetry correctly. Previously, I was able [...] - Reader Questions:
Don't Try Documentation Time Travel
Question: This past July we billed 99213 for an office visit. Now, the patient's insurance [...] - Reader Questions:
Avoid Authorization Frustration
Question: Our employees often have a hard time explaining to patients why they must sign [...] - Clarification:
Append LT and RT to Post-Op Code
A Reader Question in the July 2005 Optometry Coding & Billing Alert, "Use 54 to [...]
