• Coding Bulletin

  • The Coding Bulletin provides the latest coding updates and answers to your coding questions. Empower your coding team with the most current information on rules and regulations for proper coding and documentation.

    Each month, the best of the Coding Bulletin is emailed to all AAOE members. Not a member? Join today.

    Sue Vicchrilli, COT, OCS, Director, Coding and Reimbursement
    Jenny Edgar, CPC, CPCO, OCS, Academy Coding Specialist

  • Ask the Expert

    Have a question you'd like to ask the Academy's coding experts? Submit your question to coding@aao.org and list "Ask the Expert" in the subject line.

  • MAY 20, 2015
    Question: A patient presented with a retinal tear. We did a laser the same day. Are we able to bill the exam? Answer: Yes. Append modifier -57 to the appropriate level of exam since CPT code 67145 Prophylaxis of retinal detachment without drainage, one or more sessions;…
    MAY 20, 2015
    Question: What are the requirements to bill an “incident-to” service? Answer: 1. The ophthalmologist must first see and diagnose the patient. 2. There must be a clearly stated written order detailing what components of exam and testing services are to be performed. N…
    MAY 20, 2015
    Question: I would like guidance coding the following procedure. Our physician performed a pars plana vitrectomy, lensectomy, anterior chamber intraocular lens and cataract extraction OD. Answer: CPT code 67036 PPV and CPT code 66984 Cataract extraction and insertion of I…
    MAY 20, 2015
    Question: Can you help me choose the best CPT code for the following procedures performed in the right eye: Drainage of serous choroidal detachment, scleral buckle, pars plana vitrectomy with air fluid exchange, internal drainage, and endolaser photocoagulation. Diagnos…
    MAY 20, 2015
    Question: Is it necessary to append modifier -52 on a visual field test when only one eye is being tested? Answer: No. Appending modifier -52 Reduced services has not been necessary for many years.
    MAY 20, 2015
    Question: Can we bill for both CPT codes 92133 SCODI optic nerve and 92134 SCODI retina if we have two different diagnoses? Answer: No. These two scans are mutually exclusive of each other and cannot be unbundled. CPT language also states that both tests can’t be billed o…