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    Charging Patients PPE Cleaning Fees
    AUG 14, 2020 in Ask the Expert, Exams
    We have heard that some dental practices are charging a personal protective equipment (PPE) cleaning fee. Are ophthalmologists allowed to charge a separate fee to patients?
    • Comments 0
    • Views 202
    EUA Same Day and Lens Removal
    AUG 14, 2020 in Exams, Pediatric/Strabismus, Ask the Expert
    Our pediatric surgeon performed an exam under anesthesia (EUA) along with removal of a cataract without implantation of IOL. We submitted the following but received a denial: 92018 66850 -RT How should we submit?
    • Comments 0
    • Views 32
    Testing Determination from Phone Conversation with Patient
    AUG 14, 2020 in Testing Services, Ask the Expert, Exams
    We had a new patient speak with our physician prior to being seen. This was not a telemedicine exam. No claim was submitted. The physician determined that a visual field is needed. Would this test be considered a standing order as this is a new patient?
    • Comments 0
    • Views 32
    Billing for Smoking Cessation Counseling
    AUG 14, 2020 in Exams, Ask the Expert
    I was made aware there are two CPT codes for smoking cessation counseling. Are they appropriate for ophthalmologists to use?
    • Comments 0
    • Views 69
    Billing Irrigation for Chemical Injury
    JUN 24, 2020 in Ask the Expert, Exams
    Our physician irrigated a patient’s eyes using the Morgan lens device after a chemical injury. Is this separately billable?
    • Comments 0
    • Views 29
    On-call Patients Seen on Weekend
    MAR 01, 2020 in Ask the Expert, Coding Updates, Exams, Coding Top 10
    Question: Our physician treated a patient over the weekend while on call for another practice. Can we bill CPT codes 92004 and 99050 Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (e.g., holida…
    • Comments 0
    • Views 265
    Superglue to Eye
    MAR 01, 2020 in Ask the Expert, Coding Updates, Coding Top 10, Exams
    Question: Our patient got superglue in their right eye. Our physician examined the patient and debrided the lashes. What CPT code is billed for the removal of glue from lashes?
    • Comments 0
    • Views 232
    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 1696
    Audit Tool Applied to Eye Visit Codes
    DEC 18, 2019 in Ask the Expert, Exams
    Question: Our compliance department is in the process of reviewing our new patient Eye visit codes, and they are down-coding our comprehensive codes to intermediate exams because we are missing the review of systems and past, family and social histories. Do we need to have t…
    • Comments 0
    • Views 339
    Consultation for Retinal Detachment
    DEC 11, 2019 in Exams, Retina, Ask the Expert
    Question: When the payer still recognizes consultation codes, should we use them when an optometrist sends a patient to us after a retinal detachment was discovered?
    • Comments 0
    • Views 64
    Audit Tool Applied to Eye Visit Codes
    DEC 11, 2019 in Exams, Ask the Expert
    Question: Our compliance department is in the process of reviewing our new patient Eye visit codes, and they are down-coding our comprehensive codes to intermediate, as we are missing the review of systems and past, family and social histories. Do we need to have this docume…
    • Comments 0
    • Views 168
    Operative Report Storage
    NOV 06, 2019 in Exams, Ask the Expert
    Question: Our surgical operative reports are kept in the electronic health record (EHR) system of the facility, not our practice. We have access to this EHR as we are under the same taxpayer identification number (TIN). Do we have to have a copy of the operative report in ou…
    • Comments 0
    • Views 113
    Established Patient ROS Documentation
    NOV 06, 2019 in Ask the Expert, Exams
    Question: Is there a specific amount of review of systems (ROS) we should be documenting for established patients?
    • Comments 0
    • Views 233
    Eye Visit Code Application
    SEP 10, 2019 in Exams, Ask the Expert
    Question: Our physician heard that ophthalmologists can no longer bill eye visit codes. Is this true?
    • Comments 0
    • Views 379
    Billing Exam for Separate Complaint
    SEP 10, 2019 in Cornea, CPT, Ask the Expert, Exams
    Question: Our physician saw an established patient complaining of red and itchy eyes. The Diagnosis is allergic conjunctivitis, and abrasion was found that required debridement. Can we bill the exam and the procedure?
    • Comments 0
    • Views 378
    After Hours Exam
    SEP 10, 2019 in Ask the Expert, Exams
    Question: Our physicians are seeing more patients after hours, due to patient emergencies, such as foreign bodies. Are we able to charge the payer or patient additional dollars for this service?
    • Comments 0
    • Views 169
    Return Exams for Corneal Rehab Prior to Surgery
    SEP 10, 2019 in Cornea, Ask the Expert, Exams
    Question: Patients return for multiple corneal rehabilitation therapies due to contact lens wear with our optometrist once cataract surgery has been determined medically necessary by one of the surgeons in the practice. Are these exams billable?
    • Comments 0
    • Views 70
    Billing Demodex
    JUL 31, 2019 in Ask the Expert, Exams, Testing Services
    Question: We recently acquired a microscope so I could look for a parasite (demodex) in patients’ lashes. Is this billable as a culture?
    • Comments 0
    • Views 129
    Oxervate Training
    JUL 31, 2019 in Exams, Cornea, Ask the Expert
    Question: When prescribed Oxervate for neurotrophic keratitis, the patient is required to return for training and care of vials. Can we bill insurance for the training, which is performed by the technician, if we have an order?
    • Comments 0
    • Views 111
    Unrelated Exam Same Day as Planned Surgery
    JUL 30, 2019 in Ask the Expert, Cataract/Anterior Segment, Modifiers, Exams
    Question: Our patient, who was scheduled to come today for a YAG Capsulotomy in the right eye, came in with a complaint of blurriness and flashes in the left eye. We did an exam of the left eye and performed the YAG in the right eye. How should we submit?
    • Comments 0
    • Views 197
    12345Next »
    1-20 of 101 results
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