Coding News and Expert Advice

1 2 3 4 5 Next »

1-20 of 584 results

JUL 12, 2019

When unbundling two codes, modifier -59 is appended to the second column code for all payers, except for CMS. Effective July 1, modifiers -59, -XE, -XS, -XP or -XU can be appended to the code in column one or column two according to a round of CCI edits that went into effect…

Comments 0
Views 146

Coding Top 10: Billing for Injection Related to Pterygium Surgery, Billing Exams in the Global Period and Resolved Diagnosis Follow-Up

JUL 12, 2019 in Retina, Testing Services, CPT, Cataract/Anterior Segment, Exams, Cornea, Coding Top 10, Glaucoma, Modifiers, Oculofacial

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The July coding selections include: Billing for Injection Related to Pterygium Surgery, Billing Exams in the Global Period and Resolved Diagnosis Follow…

Comments 0
Views 779

Referring Patient to Partner During Global Period

JUL 08, 2019 in Ask the Expert, Retina, Testing Services, Exams, Modifiers, Cataract/Anterior Segment

Question: Our patient is in the global period for cataract surgery, and it’s been determined she has cystoid macular edema (CME). We referred her to a retina specialist n our practice. Is the exam billable with modifier -24?

Comments 0
Views 149

Billing Exams in the Global Period

JUL 08, 2019 in Modifiers, Cataract/Anterior Segment, Exams, Ask the Expert

Question: A patient 60 days into the global period for cataract surgery has been diagnosed with a post-vitreous detachment (PVD), which may or may not be related. The physician feels this should be billable. Should we append modifier -24?

Comments 0
Views 210

Injection Code for Yutiq

JUL 08, 2019 in Ask the Expert, Retina, CPT

Question: What injection code is billed for Yutiq?

Comments 0
Views 81

Surgeon Treating Patient in Co-management

JUL 08, 2019 in Exams, Cataract/Anterior Segment, Ask the Expert

Question: A patient is being co-managed for cataract surgery and has now returned to the surgeon for a related complaint. Is the surgeon able to bill for the exam?

Comments 0
Views 91

Billing for Injection Related to Pterygium Surgery

JUL 08, 2019 in Cornea, Ask the Expert

Question: For the purpose of disrupting the vascular supply to the pterygium to prevent further growth and to reduce any potential damage to the cornea during the excision, our surgeon wants to inject mitomycin C first, followed by excision at another date. What is billable…

Comments 0
Views 93

Ganglion Cell Analysis

JUL 08, 2019 in Ask the Expert, Testing Services, Glaucoma

Question: For a ganglion cell analysis for glaucoma, should the CPT code be 92133 or 92134?

Comments 0
Views 62

Determining Risk for Immature Retina

JUL 08, 2019 in Ask the Expert, Retina, Exams

Question: When billing E&M services, for a baby with immature retinas, what level of risk would be used? There was no retinopathy of prematurity (ROP) detected.

Comments 0
Views 32

Visual Field Billing for Lid Surgery

JUL 08, 2019 in Ask the Expert, Testing Services, CPT, Oculofacial

Question: We billed 92083 Visual field to a commercial payer with a diagnosis of dermatochalasis and were paid, but our billing manager stated this visual field should not have been submitted.

Comments 0
Views 96

Billing Serum Tears

JUL 08, 2019 in Ask the Expert, Cornea, CPT

Question: Is the office preparation of serum tears billable to insurance?

Comments 0
Views 62

Resolved Diagnosis Follow Up

JUL 08, 2019 in Exams

Question: A patient has been seen for the last three visits for the same diagnosis. However, today the condition is resolved. Can we bill the same diagnosis?

Comments 0
Views 114

Very Minor Ophthalmological Bundling Edits Effective July 1

JUN 28, 2019

Effective July 1, a new edit from the Centers for Medicare & Medicaid Services will apply to the chalazion family of ophthalmic codes.

Comments 0
Views 479

Coding Top 10: Dilation for E/M Codes, Advanced Glaucoma Testing and Postoperative Exams When Self Pay

JUN 11, 2019 in CPT, Cornea, Coding Top 10, Pediatric/Strabismus, Exams, Testing Services, Oculofacial, Retina, Glaucoma, Cataract/Anterior Segment

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The June coding selections include: Dilation for E/M Codes, Advanced Glaucoma Testing and Postoperative Exams When Self Pay

Comments 0
Views 330

Advanced Glaucoma Testing

JUN 10, 2019 in Glaucoma, Testing Services, Ask the Expert

Question: When patients have advanced glaucoma, what testing can be performed? We’ve been told in the past testing would be denied.

Comments 0
Views 171

CPT Code for Triton OCT

JUN 10, 2019 in Retina, Ask the Expert, CPT, Testing Services

Question: I am confirming the CPT code to use for the Triton OCT.

Comments 0
Views 96

Dedicated Procedure Room Requirements

JUN 10, 2019 in Retina, Oculofacial, Glaucoma, Cataract/Anterior Segment, Cornea, Ask the Expert, Pediatric/Strabismus

Question: What are the requirements for having a dedicated procedure room in our practice?

Comments 0
Views 116

Dilation for E/M Codes

JUN 10, 2019 in Exams, Ask the Expert

Question: Our billing department has stated dilation is only necessary for eye visit codes, but not E/M codes. Is our pediatric ophthalmologist not required to dilate when billing 99214?

Comments 0
Views 274

Postoperative Exams When Self Pay

JUN 10, 2019 in Exams, Pediatric/Strabismus, Retina, Glaucoma, Oculofacial, Cataract/Anterior Segment, Ask the Expert, Cornea

Question: When a self-paying patient has medically necessary surgery, are postoperative exams included or separately billed?

Comments 0
Views 171

Botox Injection into Lacrimal Gland

JUN 10, 2019 in Ask the Expert, Oculofacial

Question: Our surgeon injected Botox into the lacrimal gland due to epiphora. Is there a CPT code to submit or is the patient responsible?

Comments 0
Views 67

1 2 3 4 5 Next »

1-20 of 584 results

* Required
* First Name:
* Last Name:
Member ID:
* Phone Number:
* Email:
* Enter code:

Subspecialties

Focus On

Academy Publications

Information for:

Tools and Services

Our Sites

Subspecialties

Focus On

Find an Ophthalmologist

Academy Publications

Information for:

Tools and Services

Our Sites

Subspecialties

Focus On

Find an Ophthalmologist

Subspecialties

Focus On

Narrow Your Results

Select Code Type

Select Topic

Select Category

About Our Coding Experts

OUR SITES

FOLLOW THE ACADEMY

Thank you

* Message: