Coding News and Expert Advice

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1-20 of 45 results

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 72

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 39

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 59

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 16

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 105

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 1302

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 180

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 467

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 247

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 5951

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 477

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 566

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 1263

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 542

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 760

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 209

CPT Code for Orbital Fat Removal via Conjunctival Incision

FEB 21, 2018 in Oculofacial, Cornea, Ask the Expert, CPT

What CPT code can I use for removal of prolapsing orbital fat through a small conjunctival incision?

Comments 0
Views 1671

Academy Announces New Retina-Specific OCS Exam

FEB 01, 2018 in Exams, Coding Updates, Oculofacial, Pediatric/Strabismus, Glaucoma, Diabetes, Testing Services, Cornea, Cataract/Anterior Segment, Modifiers, Retina

Effective April 2, the Academy will administer the Ophthalmic Coding Specialist examination and offer a new retina-specific version.

Comments 0
Views 1181

Confirming ICD-10 Code for Botox Injections

JAN 23, 2018 in Oculofacial, Ask the Expert, CPT

Our surgeons inject Botox for several reasons. The payer denied our claim for one specific case. We submitted CPT code 64612 along with J0585 for G24.3 Spasmodic torticollis. Can you help me understand the denial?

Comments 0
Views 5543

Bilateral Eyelid Lesion Removal

JAN 23, 2018 in CPT, Oculofacial, Ask the Expert

How should we bill a commercial payer for bilateral lower-lid lesions with CPT code 67840?

Comments 0
Views 1026

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