Subspecialties

  • Cataract/Anterior Segment
  • Comprehensive Ophthalmology
  • Cornea/External Disease
  • Glaucoma
  • Neuro-Ophthalmology/Orbit
  • Pediatric Ophthalmology/Strabismus

 

  • Ocular Pathology/Oncology
  • Oculoplastics/Orbit
  • Refractive Management/Intervention
  • Retina/Vitreous
  • Uveitis

Focus On

  • Pediatric Ophthalmology Education Center
  • Oculofacial Plastic Surgery Center
  • Laser Surgery Education Center
  • Redmond Ethics Center
  • Global Ophthalmology Guide

Academy Publications

  • EyeNet
  • Ophthalmology
  • Ophthalmology Glaucoma
  • Ophthalmology Retina

Information for:

  • International Ophthalmologists
  • Media
  • Medical Students
  • Patients and Public
  • Technicians and Nurses
  • Senior Ophthalmologists
  • Young Ophthalmologists

Tools and Services

  • EyeCare America
  • Help
  • IRIS Registry
  • Medicare Physician Payment
  • Meetings and Deadlines
  • Museum of the Eye
  • Ophthalmology Job Center

Our Sites

  • EyeWiki
  • International Society of Refractive Surgery

Subspecialties

  • Cataract/Anterior Segment
  • Comprehensive Ophthalmology
  • Cornea/External Disease
  • Glaucoma
  • Neuro-Ophthalmology/Orbit
  • Pediatric Ophthalmology/Strabismus
  • Ocular Pathology/Oncology
  • Oculoplastics/Orbit
  • Refractive Management/Intervention
  • Retina/Vitreous
  • Uveitis

Focus On

  • Glaucoma Education Center
  • Pediatric Ophthalmology Education Center
  • Oculofacial Plastic Surgery Center
  • Laser Surgery Education Center
  • Redmond Ethics Center
  • Global Ophthalmology Guide

Find an Ophthalmologist

Advanced Search
  • Annual Meeting
  • Clinical Education
  • Practice Management
  • Member Services
  • Advocacy
  • Foundation
  • About
  • Subspecialties & More
  • Eye Health
  • Home
  • Annual Meeting
  • Clinical Education
  • Practice Management
  • Member Services
  • Advocacy
  • Foundation
  • About
  • Subspecialties & More

    Academy Publications

    • EyeNet
    • Ophthalmology
    • Ophthalmology Glaucoma
    • Ophthalmology Retina

    Information for:

    • International Ophthalmologists
    • Media
    • Medical Students
    • Patients and Public
    • Technicians and Nurses
    • Senior Ophthalmologists
    • Young Ophthalmologists

    Tools and Services

    • EyeCare America
    • Help
    • IRIS Registry
    • Medicare Physician Payment
    • Meetings and Deadlines
    • Museum of the Eye
    • Ophthalmology Job Center

    Our Sites

    • EyeWiki
    • International Society of Refractive Surgery

    Subspecialties

    • Cataract/Anterior Segment
    • Comprehensive Ophthalmology
    • Cornea/External Disease
    • Glaucoma
    • Neuro-Ophthalmology/Orbit
    • Pediatric Ophthalmology/Strabismus
    • Ocular Pathology/Oncology
    • Oculoplastics/Orbit
    • Refractive Management/Intervention
    • Retina/Vitreous
    • Uveitis

    Focus On

    • Glaucoma Education Center
    • Pediatric Ophthalmology Education Center
    • Oculofacial Plastic Surgery Center
    • Laser Surgery Education Center
    • Redmond Ethics Center
    • Global Ophthalmology Guide

    Find an Ophthalmologist

    Advanced Search

    Subspecialties

    • Cataract/Anterior Segment
    • Comprehensive Ophthalmology
    • Cornea/External Disease
    • Glaucoma
    • Neuro-Ophthalmology/Orbit
    • Pediatric Ophthalmology/Strabismus

     

    • Ocular Pathology/Oncology
    • Oculoplastics/Orbit
    • Refractive Management/Intervention
    • Retina/Vitreous
    • Uveitis

    Focus On

    • Pediatric Ophthalmology Education Center
    • Oculofacial Plastic Surgery Center
    • Laser Surgery Education Center
    • Redmond Ethics Center
    • Global Ophthalmology Guide
  • Eye Health
Find an Ophthalmologist
Academy Store
  • Coding
    • Overview
    • Ask the Coding Experts
    • Coding Updates and Resources
    • Codequest
    • Coding for Injectable Drugs
    • ICD-10-CM
    • Ophthalmic Coding Specialist (OCS) Exam

    The Lean Practice: the Academy's Transformative Practice Management Program

  • Regulatory
    • Overview
    • Medicare Participation Options
    • Audits
    • Medicare Advantage Plans
    • New Medicare Card
    • Provider Enrollment, Chain and Ownership System (PECOS)
    • Regulatory Compliance
  • Practice Operations
    • Cybersecurity During COVID-19
    • Private Equity
    • Practice Management Advice
    • Lean Management
    • EHRs
  • Events
    • Annual Meeting
    • Business Summit
    • Codequest Courses
  • Leadership
    • AAOE Board of Directors
    • Leadership Program (OPAL)
  • Listservs
  • Resources
    • Practice Management Resource Library
    • Coronavirus Resources
    • Patient Education
    • Practice Forms Library
    • Practice Analytics
    • Consultant Directory
    • Ophthalmology Job Center
    • Practice Management for Retina
    • Telehealth Resources
    • Reopening and Recovery
  • Get Involved
    • 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.

    Jenny Edgar CPC, CPCO, OCS, OCSR
    Manager, Coding and Reimbursement

    David B. Glasser, MD
    Secretary, Federal Affairs

    Cherie McNett
    Director, Health Policy

    Michael X. Repka, MD, MBA
    Academy Medical Director

    Sue Vicchrilli, COT, OCS, OCSR
    Director, Coding and Reimbursement

    Joy Woodke, COE, OCS, OCSR
    Coding and Practice Management Executive

    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.

  • 123
    1-20 of 58 results
    Prior Authorization for Medicare
    JUN 24, 2020 in Ask the Expert, Oculofacial
    I recently heard Medicare requires a prior authorization on blepharoplasties. In the past we’ve been unable to prior authorize services with Medicare. Is this new?
    • Comments 0
    • Views 44
    Prior Authorization of Blepharoplasty and Botox Procedures Required Starting July 1
    JUN 03, 2020 in Oculofacial, Ask the Expert
    Hospital outpatient departments must preauthorize blepharoplasty and Botox procedures performed on or after July 1, but the process can begin June 17.
    • Comments 0
    • Views 1232
    Unsuccessful Probing of Nasal Lacrimal Duct
    MAR 01, 2020 in Coding Updates, CPT, Ask the Expert, Coding Top 10, Oculofacial
    Question: Our surgeon dilated and probed the patient’s right lacrimal duct. However, the probing was unsuccessful. Should we submit CPT code 68810 Probing of nasolacrimal duct, with or without irrigation, with modifier -52 for reduced services?
    • Comments 0
    • Views 97
    Coding Top 10: Frequency of Retina OCT, Frequency of Billing Fundus Photography and Superglue to Eye
    MAR 01, 2020 in Testing Services, Exams, Cataract/Anterior Segment, Coding Top 10, Oculofacial, Ask the Expert, Glaucoma, Modifiers, Coding Updates
    Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The March coding selections include: Frequency of Retina OCT, Frequency of Billing Fundus Photography and Superglue to Eye
    • Comments 0
    • Views 1579
    Adjustment to Frontalis Sling
    DEC 18, 2019 in Oculofacial, Ask the Expert
    Question: How do you bill for frontalis sling adjustment?
    • Comments 0
    • Views 106
    ICD-10 Code for Squamous Cell Carcinoma of Skin of Eyelid
    DEC 18, 2019 in Ask the Expert, Oculofacial
    Question: Is ICD-10 code C44.12- Squamous cell carcinoma of skin of eyelid, including canthus really C44.122 for the right eyelid and C44.129 for the left eyelid?
    • Comments 0
    • Views 70
    CPT Code for Globe Exploration
    DEC 11, 2019 in Ask the Expert, Oculofacial
    Question: Our surgeon performed an exploration of the left globe on a patient who was thought to may have a ruptured globe due to blunt trauma, but fortunately none was found. The surgeon did not explore the orbit, only the globe. What CPT code should be billed?
    • Comments 0
    • Views 725
    CPT code 15004 Denied by Medicare
    DEC 11, 2019 in Ask the Expert, Oculofacial
    Question: Our surgeon performed and billed for CPT code 67966 Excision and repair of eyelid, along with 15004 Surgical preparation of recipient site. Medicare denied 15004. The surgeon feels this is incorrect. Should we have billed this differently?
    • Comments 0
    • Views 239
    ICD-10 Code for Orbital Roof Fracture
    DEC 11, 2019 in Ask the Expert, Oculofacial
    Question: Is there a diagnosis code for orbital roof fracture?
    • Comments 0
    • Views 74
    Dry Eye Diagnosis for Epilation
    NOV 06, 2019 in ICD-10, Oculofacial, Cornea, Ask the Expert
    Question: Our physician performed epilation with a primary diagnosis of dry eyes; however, we have not seen this diagnosis attached to this procedure before. Is this payable?
    • Comments 0
    • Views 310
    Terminated Ptosis Repair Billing
    NOV 06, 2019 in Ask the Expert, Oculofacial
    Question: Our surgeon was performing ptosis surgery of the right eye, when the eyelid tissue proved to be too thin and fragile. The tissue superficial to the Wright needle and fascia tore, leaving the needle/fascia complex exposed. It was decided that proceeding further with…
    • Comments 0
    • Views 84
    Payer Denial of Exam Same Day as Minor Surgery
    NOV 06, 2019 in Oculofacial, Ask the Expert, Modifiers
    Question: Our commercial payer denied our exam submitted the same day as an excision of lid lesion. They stated it was incidental to the primary procedure. Below is how we submitted. Should we rebill or appeal? Diagnosis D23.121 Benign eyelid lesion CPT: 92014 - 25…
    • Comments 0
    • Views 154
    Units for CPT code 67882
    JUL 31, 2019 in Ask the Expert, CPT, Oculofacial
    Question: Our surgeon performed CPT code 67882 Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate on a patient’s right eye. However, this was performed both on medial and lateral eyelid. Is there another CPT cod…
    • Comments 0
    • Views 209
    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 269
    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 287
    CPT code for Ingrown Eyelash
    MAR 18, 2019 in Ask the Expert, CPT, Oculofacial
    Question: What code should we bill for removing an ingrown eyelash?
    • Comments 0
    • Views 468
    Epilation Sooner than Eight Weeks
    MAR 12, 2019 in Oculofacial, Cornea, Ask the Expert
    Question: We have a patient that returns frequently for epilation. He would like to come sooner than eight weeks and feels that it is medically appropriate. We did bill and received a denial due to frequency from Medicare. How do we get this paid?
    • Comments 0
    • Views 254
    CPT Code for I&D of Chalazion
    MAR 12, 2019 in Pediatric/Strabismus, Ask the Expert, Oculofacial, CPT
    Question: What is the appropriate CPT code for incision and drainage of a chalazion instead of excision?
    • Comments 0
    • Views 3593
    Correct Taxonomy Codes
    FEB 04, 2019 in ICD-10, Oculofacial, Ask the Expert, Exams
    Question: We are considering switching to the unique taxonomy code for our oculoplastic physician. Can you tell me if 2082S0099X – Allopathic & Osteopathic Physicians – Plastic Surgery is appropriate?
    • Comments 0
    • Views 662
    January 2019 CCI Edits Impact New Biopsy CPT Codes
    DEC 11, 2018 in Coding Updates, Oculofacial, CPT
    The Centers for Medicare and Medicaid Services (CMS) is scheduled to implement its current Correct Coding Initiative Edits (CCI), Version 25.0 effective Jan. 1, 2019. The table below includes several new ophthalmic codes this year and lists how the edits impact billing.…
    • Comments 0
    • Views 12499
    123
    1-20 of 58 results
  • Log In Forgot password | Forgot email
  • The Academy Store
    2021 ICD-10-CM for Ophthalmology: The Complete Reference 
    2020 Kentucky Codequest (Recording)
    Conquering New E-M Documentation Guidelines for Ophthalmology
    2020 Coding Coach: The Complete Ophthalmic Reference
    2020 CPT: The Complete Pocket Reference
    2020 Retina Coding: Complete Reference Guide
    2020 Learn to Code: Complete Guide to the Essentials
    2020 CPT Professional Edition
    2020 HCPCS Level ll Professional Edition
    2020 Learn to Code Cataract and Anterior Segment
    2020 Learn to Code Cornea
    2020 Learn to Code Glaucoma
    2020 Learn to Code Oculofacial
    2020 Learn to Code Pediatrics and Strabismus
    2020 Learn to Code: Complete Guide to Subspecialties
    Chart Audit Consultation - Hourly
    Chart Audit Consultation - Daily
    Coding Audit Success Toolkit (Print)
    Coding Audit Success Toolkit
    Coding Audit Success Toolkit (download)
    Coding and Practice Management Consultations
    Ophthalmic Coding Specialist Exam
    Ophthalmic Coding Specialist Retina Exam
    Coding Consultation - Hourly
    Ophthalmic Coding Coach
    ICD-10-CM for Ophthalmology: The Complete Reference
  • 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
  • YouTube
  • Instagram

Museum of the Eye

  • Facebook
  • Twitter
  • Instagram
  • Trip Advisor
  • Yelp
© American Academy of Ophthalmology 2020
* Required
* First Name:
* Last Name:
Member ID:
* Phone Number:
* Email:
* Enter code:
* Message:
 

Thank you

Your feedback has been sent.