• My Dashboard My Education Find an Ophthalmologist
  • Home
  • Coronavirus
  • For Ophthalmologists
    • Meetings
      • AAO 2022
        • Meeting Information
          • Past and Future Meetings
          • Mobile Meeting Guide
          • Contact Information
          • Annual Meeting News
          • Health and Safety
          • Policies and Disclaimers
        • Program
          • Program Highlights
          • Subspecialty Day
          • Virtual Meeting
          • Program Committees
          • CME
          • Meeting Archives
        • Expo
        • Registration
        • Hotels & Travel
          • Hotel Reservation Information
          • Chicago
          • International Attendees
          • Hotel Meeting Space
        • Presenter Central
          • Presenter Central
          • Abstract Selection Process
          • Submission Policies
          • Subject Classification/Topics
          • Instruction Courses and Skills Transfer Labs
          • Papers and Posters
          • Videos
          • Grand Rounds Symposium
          • Program Participant and Faculty Guidelines
          • Faculty Development Program
        • Exhibitors
          • Exhibitor Central
          • Exhibitor Portal Information
          • Exhibitor Prospectus
          • New Exhibiting Companies
          • Exhibitor Resources
          • International Exhibitors
          • Promotional Opportunities
          • Exhibitor Hotel Reservations
      • Mid-Year Forum
        • Registration and Travel
        • Congressional Advocacy Day
        • Advocacy Ambassador Program
        • Program
        • Schedule
        • Sponsored Attendees
        • News
      • Codequest
        • Codequest Instructors
        • Claim Codequest CME or CEU Credit
      • Eyecelerator
    • Clinical Education
      • COVID-19
      • Education
        • Browse All Education
        • Courses
        • Cases
        • Learning Plans
        • Interactive
        • Focal Points
        • Wills Eye Manual
        • Disease Reviews
        • Clinical Webinars
        • Diagnose This
        • Self-Assessments
        • Educational Centers
          • Glaucoma Education Center
          • Pediatric Ophthalmology Education Center
          • Laser Surgery Education Center
          • Myopia Resources
          • Oculofacial Plastic Surgery Center
          • Redmond Ethics Center
      • Journals
      • Guidelines
        • Browse All Practice Guidelines
        • Preferred Practice Patterns
        • Clinical Statements
        • Compendium Guidelines
        • Complementary Therapy Assessments
        • Medical Information Technology
        • Ophthalmic Technology Assessments
        • Patient Safety Statements
        • Choosing Wisely
        • Low Vision
        • Eye Care for Older Adults
        • Eye Disease Statistics
        • About the Hoskins Center
      • Video and Image Library
        • Browse All Videos
        • Clinical and Surgical Videos
        • Presentations and Lectures
        • 1-Minute Videos
        • Master Class Videos
        • Basic Skills Videos
        • Interviews
        • Images
        • Submit an Image
        • Submit a Video
      • Podcasts
        • Browse All Audio and Podcasts
        • Experts InSight
        • Ophthalmology Journal
      • News
        • Browse All Clinical News
        • Editors' Choice
        • Headlines
        • Current Insight
      • CME Central
        • Browse All CME Activities
        • Claim CME Credit and View Transcript
        • CME Planning Resources
        • Complete Your Financial Disclosure
        • Joint Sponsorship Portal
        • LEO Continuing Education Recognition Award
        • Safe ER/LA Opioid Prescribing
        • Check Your Industry Payment Records
      • MOC
      • Resident Education
        • Resident Education Home
        • Browse All Resident Content
          • Blog Posts
          • Courses
          • Flashcards
          • Interactive Cases and Simulations
          • Videos
          • Webinars
        • OKAP and Board Exam Resources
          • OKAP Exam
          • Board Prep Resources
          • OKAP and Board Review Presentations
          • Study Flashcards
        • Cataract Master
        • Diversity and Inclusion Education
        • News and Advice from YO Info
        • Pediatric Ophthalmology Education Center
        • PGY-1 and PGY-2 Resources
        • Simulation in Resident Education
    • Membership
      • Join
      • Renew
      • Current Member
      • Volunteer
      • Physician Wellness
      • Member Directory
      • Member Obituaries
      • AAOE Membership
    • Advocacy
      • Advocacy News
      • Get Involved
        • Ways to Give
        • How to Get Involved
        • Congressional Advocacy
        • Support the Academy's Agenda
        • Research Legislation
        • Find Your Legislators
        • I Am an Advocate
        • Advocacy at Home
        • Advocate Tools
        • Best Practices for Advocating at Home
        • Social Media Toolkit
        • Letter to Editor
        • Town Hall Guide
        • Guide to Engaging With New Lawmakers
        • Resources
        • Attending a Political Fundraiser
      • OPHTHPAC
        • About Us
        • Join OPHTHPAC
        • OPHTHPAC Blog
      • Surgical Scope Fund
        • Support Surgery By Surgeons
        • Surgery By Surgeons Blog
    • Publications
      • EyeNet Magazine
        • Latest Issue
        • Archive
        • Subscribe
        • Advertise
        • Write For Us
        • Corporate Lunches
        • Contact
        • MIPS 2022
      • Focal Points
      • Ophthalmology
      • Ophthalmology Glaucoma
      • Ophthalmology Retina
      • YO Info
      • Scope
    • Subspecialties
      • Cataract/Anterior Segment
      • Comprehensive Ophthalmology
      • Cornea/External Disease
      • Glaucoma
      • Neuro-Ophthalmology/Orbit
      • Ocular Pathology/Oncology
      • Oculoplastics/Orbit
      • Pediatric Ophthalmology/Strabismus
      • Refractive Management/Intervention
      • Retina/Vitreous
      • Uveitis
    • IRIS Registry
      • About
      • Using the Registry
        • User Guide
        • Medicare Reporting
        • Maintenance of Certification
        • Non-EHR Reporting
      • Sign Up
        • Application Process
        • Why Participate
        • Once You've Applied: Getting Started
        • What Practices Are Saying About the Registry
      • Requirements
        • EHR Systems
        • Data & Technical Needs
      • Research
      • Registry Dashboard
      • News
      • Medicare & MIPS
    • Medicare Information
    • Diversity, Equity, and Inclusion
  • For Practice Management
    • Managing Your Practice
      • Managing Your Practice Topics
      • Coronavirus Resources
      • Reopening & Recovery
      • Practice Forms Library
      • Practice Management News and Advice
      • AAOE-Talk
      • Video Library
      • Ophthalmology Job Center
      • Benchmarking and Salary Tools
      • Academy Consultations
      • Consultant Directory
    • Coding
      • Coding Topics
      • Codequest Events
      • Ask the Coding Experts
      • Coding Updates and Resources
      • Coding for Injectable Drugs
      • EM Documentation
      • ICD-10-CM
      • Ophthalmic Coding Specialist (OCS) Exam
      • Retina
      • Savvy Coder
    • Webinars and Events
      • Annual Meeting
        • Master Classes
        • Coding Sessions
        • Submit an Instruction Course
      • Codequest Courses
      • Mid-Year Forum
      • Webinar Recordings
      • Upcoming Webinars
    • IRIS Registry
      • Merit-Based Incentive Payment
    • Medicare and MIPS
      • MIPS
        • Quality
        • Promoting Interoperability
        • Improvement Activities
        • Cost
        • Avoid a Penalty
      • Resources
      • Medicare Participation Options
      • Medicare Advantage Plans
      • New Medicare Card
      • Provider Enrollment, Chain and Ownership System (PECOS)
    • Regulatory Compliance
      • HIPPA Resources
      • Office of Inspector General
      • Audits
      • OSHA
    • AAOE Membership
      • Join AAOE
      • Membership Benefits
      • Renew/Pay Dues
    • About AAOE
      • AAOE Board of Directors
      • AAOE Content Committee
      • Volunteer Opportunities
  • For Public & Patients
    • Eye Health A-Z
    • Symptoms
    • Glasses & Contacts
    • Tips & Prevention
    • News
    • Ask an Ophthalmologist
    • Patient Stories
    • No Cost Eye Exams
    • Español
      • A - Z de Salud Ocular
      • Síntomas
      • Anteojos y Lentes de Contacto
      • Consejos y Prevención
      • Noticias
      • Relatos de Pacientes
      • Exámenes de la vista sin costo
      • English
  • AAO 2022
    • Meeting Information
      • Past and Future Meetings
      • Mobile Meeting Guide
      • Contact Information
      • Annual Meeting News
      • Health and Safety
      • Policies and Disclaimers
    • Program
      • Program Highlights
      • Subspecialty Day
      • Virtual Meeting
      • Program Committees
      • CME
      • Meeting Archives
    • Expo
    • Registration
    • Hotels & Travel
      • Hotel Reservation Information
      • Chicago
      • International Attendees
      • Hotel Meeting Space
    • Presenter Central
      • Presenter Central
      • Abstract Selection Process
      • Submission Policies
      • Subject Classification/Topics
      • Instruction Courses and Skills Transfer Labs
      • Papers and Posters
      • Videos
      • Grand Rounds Symposium
      • Program Participant and Faculty Guidelines
      • Faculty Development Program
    • Exhibitors
      • Exhibitor Central
      • Exhibitor Portal Information
      • Exhibitor Prospectus
      • New Exhibiting Companies
      • Exhibitor Resources
      • International Exhibitors
      • Promotional Opportunities
      • Exhibitor Hotel Reservations
  • About
    • Who We Are
      • What We Do
      • About Ophthalmology
      • The Eye Care Team
      • Ethics and the Academy
      • History
      • Museum of Vision
      • Values
    • Governance
      • Council
      • Board of Trustees
      • Committees
      • Academy Past Presidents
      • Secretariats
      • Elections
      • Academy Blog
      • Academy Staff Leadership
    • Leadership Development
    • Awards
      • Laureate Recognition Award
      • Outstanding Advocate Award
      • Outstanding Humanitarian Service Award
      • International Blindness Prevention Award
      • Distinguished Service Award
      • Guests of Honor
      • Secretariat Award
      • Straatsma Award
      • Achievement Award Program
      • Artemis Award
      • EnergEYES Award
      • International Education Award
      • International Scholar Award
      • Commitment to Advocacy Award
      • Visionary Society Award
    • Financial Relationships
    • Policy Statements
    • Related Organizations
      • Subspecialty/Specialized Interest Society Directory
      • State Society Directory
      • Subspecialty/Specialized Interest Society Meetings
      • State Society Meetings
      • Resources for Societies
    • Year in Review
      • 2020 Year in Review
  • Foundation
    • About
      • 2020-2021 Annual Report
      • Annual Report Archives
      • News From the Chair
      • Foundation Staff
    • Our Impact
      • Partners for Sight
      • Donor Spotlights
      • Global Ophthalmic Community
      • Sponsorships
      • Patients and the Public
    • Giving Options
      • Our Supporters
      • Estate and Planned Giving
      • Ophthalmic Business Council
      • Parke Center Campaign
      • Minority Ophthalmology Mentoring Campaign
      • Museum of the Eye Campaign
    • Orbital Gala
      • Why Attend
      • Photo Recap
      • Corporate Support Opportunities
      • Tribute Gifts
      • Silent Auction
      • Corporate Sponsors
    • Donate
    • Museum of the Eye Campaign
      • Museum Supporters
  • Museum of the Eye
    • Visit
    • What's On
      • Museum Galleries
      • Special Exhibitions
      • Current Events
      • Past Events
    • Explore
      • Research and Resources
      • Collection Search
      • Previous Exhibits
      • Oral Histories
      • Biographies
    • Volunteer
    • Mailing List
    • Donate
    • About the Museum
      • Museum Blog
  • Young Ophthalmologists
    • YO Info
    • Learn to Bill
    • Engage with the Academy
    • Practice Management for YOs
    • Ophthalmology Job Center
  • Senior Ophthalmologists
    • Scope
    • Practice Transitions
  • International Ophthalmologists
    • Global Programs and Resources for National Societies
    • Awards
    • Global Outreach
  • Residents
  • Medical Students
×
Shop
Log In Create an Account
  • For Ophthalmologists
  • For Practice Management
  • For Public & Patients
  • Coronavirus
  • About
  • Foundation
  • Museum of the Eye
  • Managing Your Practice
    • Managing Your Practice
    • Managing Your Practice Topics
    • Coronavirus Resources
    • Emergency Preparedness and Cybersecurity
    • Reopening & Recovery
    • Practice Forms Library
    • Practice Management News & Advice
    • AAOE-Talk
    • Video Library
    • Ophthalmology Job Center
    • Benchmarking & Salary Tools
    • Academy Consultations
    • Consultant Directory
  • Coding
    • Coding
    • Coding Topics
    • Ask the Coding Experts
    • Codequest Events
    • Coding for Injectable Drugs
    • Coding for Ocular Trauma
    • Coding Updates & Resources
    • EM Documentation
    • ICD-10-CM
    • Ophthalmic Coding Specialist (OCS) Exam
    • Retina
    • Savvy Coder



    >

  • Webinars & Events
    • Annual Meeting
      • Master Classes
      • Coding Sessions
      • Submit an Instruction Course
    • Codequest Courses
    • Mid-Year Forum
    • Webinar Recordings
    • Upcoming Webinars
  • IRIS Registry
    • IRIS Registry
    • Merit-Based Incentive Payment
  • Medicare & MIPS
    • Medicare & MIPS
    • MIPS
      • Quality
      • Promoting Interoperability
      • Improvement Activities
      • Cost
      • Avoid a Penalty
    • Resources
    • Medicare Participation Options
    • Medicare Advantage Plans
    • New Medicare Card
    • Provider Enrollment, Chain and Ownership System (PECOS)
  • AAOE Membership
    • Join AAOE
    • Membership Benefits
    • Renew/Pay Dues
    • AAOE Membership
    • About AAOE
      • About AAOE
      • AAOE Board of Directors
      • AAOE Content Committee
      • Volunteer Opportunities
    • For Practice Management /
    • Coding /
    • Ask the Coding Experts
  • Narrow Your Results

    Select Code Type

    Select Topic














    Select Category

  • About Our Coding Experts

    About Our Coding Experts

    Our expert staff have decades of combined experience, covering all aspects of coding and reimbursement.

    David B. Glasser, MD
    Secretary, Federal Affairs

    Michael X. Repka, MD, MBA
    Medical Director, Government Affairs

    Joy Woodke, COE, OCS, OCSR
    Director, Coding and Reimbursement

    Matthew Baugh, MHA, COT, OCS, OCSR
    Manager, Coding and Reimbursement

    Heather H. Dunn, COA, OCS, OCSR
    Manager, Coding and Reimbursement

    Ask the Experts!

    Email coding@aao.org

  • Coding News and Expert Advice

  • Empower your coding team with the up-to-date answers from the Academy's coding experts. Our carefully researched responses cover federal and commercial payers and help you improve documentation, submit clean claims and appropriately maximize reimbursement. Not a AAOE member? Join today.

  • Note: Coding regulations and edits can change several times a year. All Academy coding advice is based on most current information available at the time of publication. When in doubt, visit aao.org/coding for the most recent updates. Information provided by our coding experts is copyrighted by the American Academy of Ophthalmology and intended for individual practice use only.

  • Coding Top 10 - July 2022
    JUL 19, 2022 in Cataract/Anterior Segment, Glaucoma, Testing Services, Coding Top 10, ICD-10, Diabetes, CPT, Exams, Modifiers, Retina, Ask the Expert, Coding Competency
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 437
    Local Coverage Determination Policies (LCDs)
    JUL 18, 2022 in Ask the Expert, Testing Services, Coding Competency, Exams, Retina, Diabetes, Coding Top 10
    We are having trouble getting paid for OCTs. How would I know if my Medicare administrative contractor (MAC) has a policy?
    • Comments 0
    • Views 138
    Coding Top 10 - June 2022
    MAY 31, 2022 in CPT, Cataract/Anterior Segment, Coding Updates, Diabetes, Ask the Expert, Testing Services, Exams, Oculofacial, ICD-10, Retina, Glaucoma, Coding Top 10, Modifiers
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 974
    Does the ICD-10 Code Trigger Multiple Procedure Payment Reduction?
    MAY 23, 2022 in Testing Services, Diabetes, Ask the Expert, Coding Top 10
    Our office often bills 92242 and 92134 together on patients with moderate diabetic retinopathy with macular edema and retinal hemorrhages. We have heard that coding the same diagnosis for both tests will trigger a multiple procedure payment reduction, reducing the OCT reimbu…
    • Comments 0
    • Views 128
    Prediabetes ICD-10 Code
    OCT 06, 2016 in Diabetes, ICD-10, Ask the Expert
    What code should we use when a patient is not diagnosed with diabetes, but has symptoms?
    • Comments 0
    • Views 1019
    Laterality with Diabetes Codes
    OCT 06, 2016 in ICD-10, Diabetes, Ask the Expert
    Do all diabetes ICD-10 codes require laterality as of Oct. 1, 2016?
    • Comments 0
    • Views 297
    ICD-10 Diabetes Codes Without Ocular Complications
    AUG 10, 2016 in Diabetes, ICD-10, Retina, Ask the Expert
    There is no code for diabetes type 1 or type 2 that includes "without ocular complications" (i.e., no diabetic retinopathy). The only available codes are E10.9 or E11.9, which do not seem correct. What diagnosis code should we submit when the patient has no ocular complicati…
    • Comments 0
    • Views 9508
    How to Bill for Testing Glucose During Exam
    JUL 19, 2016 in Ask the Expert, Testing Services, Diabetes
    Question: We have a glucose monitor to check blood sugar during visits, when needed. I am unable to locate an allowable for this in the Medicare Part B fee schedule. Is there a specific code we should submit?
    • Comments 0
    • Views 384
    Diabetes With Macular Edema ICD-10 Coding
    DEC 02, 2015 in Ask the Expert, Diabetes
    When filing a claim to a commercial payer for a patient with diabetes, are we required to bill the diabetes and macular edema separately like ICD-9? If so, which ICD-10 codes should we submit?
    • Comments 0
    • Views 1418
    Should you report insulin use for patients with diabetes?
    OCT 20, 2015 in Ask the Expert, ICD-10, Diabetes
    Question: Should we report insulin use Z79.4 for our patients with diabetes?
    • Comments 0
    • Views 524
    How to code diabetes with no ophthalmic disease progression
    OCT 20, 2015 in Diabetes, ICD-10, Ask the Expert
    Question: What is the best diagnosis code to use when a patient is sent to our practice because they have diabetes, but no ophthalmic disease progression is diagnosed?
    • Comments 0
    • Views 722
    ICD-10 Diagnosis Code for 250.03 Type 1 Diabetes Mellitus, Juvenile, Uncontrolled?
    JUN 16, 2015 in Diabetes, ICD-10, Ask the Expert
    Question: What would be the appropriate ICD-10 code for 250.03 Type 1 Diabetes mellitus, juvenile, uncontrolled?
    • Comments 0
    • Views 2385
    ICD-10 Code for Prediabetes
    JUN 16, 2015 in Ask the Expert, Diabetes
    Question: How do you code for prediabetes?
    • Comments 0
    • Views 19257
  • The Academy Store
    2022 Coding Coach: Complete Ophthalmic Coding Reference 
    2022 CPT: Complete Pocket Ophthalmic Reference
    2022 Retina Coding: Complete Reference Guide
    2022 Fundamentals of Ophthalmic Coding
    2022 CPT Professional Edition 
    2022 HCPCS Level ll Professional Edition
    2022 Coding Assistant for Subspecialties 
    2022 Coding Assistant: Cataract and Anterior Segment
    2022 Coding Assistant: Cornea
    2022 Coding Assistant: Glaucoma
    2022 Coding Assistant: Oculofacial
    2022 Coding Assistant: Pediatrics/Strabismus
    2022 ICD-10-CM for Ophthalmology: The Complete Reference 
    Ultimate Documentation Compliance Training for Scribes and Technicians
    Chart Audit Consultation - Hourly
    Chart Audit Consultation - Daily
    Coding and Practice Management Consultations
    Ophthalmic Coding Specialist Exam
    Ophthalmic Coding Specialist Retina Exam
    Coding Consultation - Hourly
    Ophthalmic Coding Coach
  • Most Commented
    Loading, please wait...
    There are no comments available.
    Most Viewed
    Loading, please wait...
    Most Viewed content is not available.
 
  • Contact Us
  • About the Academy
  • Jobs at the Academy
  • Financial Relationships with Industry
  • Medical Disclaimer
  • Privacy Policy
  • Terms of Service
  • Help
  • For Advertisers
  • For Media
  • Ophthalmology Job Center

OUR SITES

  • EyeWiki
  • International Society of Refractive Surgery

FOLLOW THE ACADEMY

Medical Professionals

  • Facebook
  • Twitter
  • LinkedIn
  • YouTube

Public & Patients

  • Facebook
  • Twitter
  • Instagram
  • YouTube

Museum of the Eye

  • Facebook
  • Twitter
  • Instagram
  • YouTube
  • Trip Advisor
  • Yelp
© American Academy of Ophthalmology 2022