Optometry Coding & Billing Alert
Reader Question:
Try V45.89 for Post-LASIK Cataracts
Published on Thu Oct 08, 2009
Question:
Texas Subscriber
Answer:
Some carriers accept V45.69 (Other states following surgery of eye and adnexa), indicating previous LASIK surgery, as a covered diagnosis for corneal topography. However, some carriers (such as Cigna) specify that V45.69 must be accompanied by diagnosis code 367.22 (Irregular astigmatism). Check with your carrier to see if it has such limitations.Corneal topography is an alternative method for determining IOL power in cases in which previous LASIK surgery makes it difficult to use an A-scan or IOL Master. Report 92025 (Computerized corneal topography, unilateral or bilateral, with interpretation and report) for the test.
Other Articles in this issue of
Optometry Coding & Billing Alert
- News You Can Use:
Fee Schedule Cuts Medicare Pay By 21.2%, Scraps Consults
Bonus: Optometry practices may see a 12% raise in RVUs over 4 years. Optometry coders, [...] - 2010 Final Rule Simplifies E-Prescribing Process
Extra: CMS will debut a new eprescribing numerator code. CMS's 2010 Physician Fee Schedule Final [...] - Prepare for $17 Drop in Eye Exam Payments in 2010
You'll also see $14 less for some established patient E/Ms. A quick glance at the [...] - Red Flags Update:
Enjoy a Last-Minute Red Flag Reprieve
You now have until June 1, 2010, to comply with FTC rules. Right on the [...] - Build a Better Business:
Seek Outside Help for Lingering Payer, Claims Issues
Problem payer won't communicate? Lean on your colleagues for support. What if you take the [...] - You Be the Expert:
Unwrinkle Nursing Facility POS Codes
Question: Our optometrists sometimes go to see patients in nursing homes. What criteria should I [...] - Reader Question:
Don't Code Fundus Photos Bilaterally for Medicare
Question: Our new software program instructs us to append modifier 50 to code 92250, but [...] - Reader Question:
Who Do You Bill When You're a Non-Par Provider?
Question: I have found it impossible to find out the allowable when your provider does [...] - Reader Question:
Try V45.89 for Post-LASIK Cataracts
Question: A patient who has had LASIK surgery now has cataracts. One of our optometrists [...] - Reader Question:
Decide on Electronic vs. Paper Record Retention
Question: My practice is running out of space for storing our paper records. How long [...]
View All
