Coding News and Expert Advice

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1-20 of 49 results

Coding Top 10: Usage of miLoop in Cataract Surgery, CPT Code for Swabbing Cornea and Complex Retina Repair without Membrane Peel

AUG 01, 2019 in Retina, Oculofacial, Exams, Ask the Expert, Cornea, Coding Top 10, Modifiers, Testing Services, Cataract/Anterior Segment, CPT

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The August coding selections include: Usage of miLoop in Cataract Surgery, CPT Code for Swabbing Cornea and Complex Retina Repair without Membrane Peel

Comments 0
Views 1028

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 102

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 1090

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 180

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 432

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 150

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 192

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 120

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 217

Coding Top 10: Goniotomy and Other Glaucoma Surgery Same Day, Epilation Sooner than Eight Weeks and New Diagnosis Prompting Another Injection Less than 28 Days

MAR 13, 2019 in ICD-10, CPT, Glaucoma, Coding Top 10, Oculofacial, Cataract/Anterior Segment, Cornea, Pediatric/Strabismus, Exams, Retina

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: Goniotomy and Other Glaucoma Surgery Same Day, Epilation Sooner than Eight Weeks and New Diagnosis Prompting Another…

Comments 0
Views 1702

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 230

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 1428

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 510

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 8991

ICD-10 Code for Brow Ptosis

DEC 03, 2018 in Ask the Expert, Oculofacial, ICD-10

Question: Our surgeon will be performing a brow ptosis procedure; however there is no applicable ICD-10 code. What is the appropriate diagnosis to submit?

Comments 0
Views 659

Oct. 1 CCI Edits Impact Biopsy and Integumentary Lesion Excision Codes

OCT 01, 2018 in Oculofacial, Coding Updates, Modifiers

CMS has released the current Correct Coding Initiative Edits (CCI), Version 24.3, which goes into effect Oct 1. These edits bundle two or more services together. Always look at each code combination when two or more services are being performed as not all codes show a bundle…

Comments 0
Views 592

Different CPT Codes for Lateral Tarsal Strip Procedures

SEP 19, 2018 in CPT, Ask the Expert, Oculofacial

Question: We have an oculofacial surgeon often performing lateral tarsal strip procedures. Our surgery coordinator only uses the CPT code 67917 Repair of ectropion; extensive. Is there another code we should be using?

Comments 0
Views 2358

CPT Code for Epithelial Debridement

AUG 21, 2018 in CPT, Oculofacial, Ask the Expert

Question: Our physician is looking for a CPT code for epithelial debridement of lid margin. This may be used for lid scrubs?

Comments 0
Views 879

Billing for Healon Injections

JUL 24, 2018 in Oculofacial, Ask the Expert

Question: We have a patient transferred to us for continued injections of Healon .85mg. The patient is refusing enucleation, so Healon is being used as a way to keep the eye inflated. I have been told to use J7317 for Healon, however this appears to be for osteoarthritic tre…

Comments 0
Views 1030

Removing Tumors From Multiple Lids

MAY 15, 2018 in Oculofacial, CPT, Ask the Expert

Our surgeon is performing a tumor excision from all four lids. How do I code this?

Comments 0
Views 236

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