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  • 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.

  • 1-20 of 137 results
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    Pop Quiz: Billing for New vs. Established Patients
    MAY 31, 2022 in Ask the Expert, Coding Competency, Exams
    Whether you are starting your own practice, joining a group practice, acquiring patients from another practice or opening a new office location across town, a practice transition will create situations in which it will be important to know if a patient is considered new or e…
    • Comments 0
    • Views 255
    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 670
    Coding Top 10 - May 2022
    APR 22, 2022 in ICD-10, Exams, Ask the Expert, Coding Updates, Glaucoma, Coding Competency, Retina, Coding Top 10, Modifiers, CPT, Cataract/Anterior Segment, Oculofacial
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 1248
    Comprehensive exam and Optos
    APR 22, 2022 in Exams, Retina, Coding Top 10, Ask the Expert
    Since it is not covered by insurance, can we bill the patient for Optos? Can we bill for a comprehensive examination when we use Optos even if we do not dilate the patient?
    • Comments 0
    • Views 231
    Comanagement and Post-Operative Billing
    APR 22, 2022 in Modifiers, Exams, Coding Top 10, Ask the Expert
    Can we abstain from billing the days/visits that we see post-ops in order to not disrupt the referring and comanaging billing for the full 90 days? Or are we required to bill for the days that the patient is under our care?
    • Comments 0
    • Views 205
    Eye Visit Codes for Inpatient Setting
    APR 22, 2022 in Ask the Expert, Coding Top 10, Coding Competency, Exams
    Can the Eye Visit codes only be used in the outpatient setting and not in the inpatient setting?
    • Comments 0
    • Views 105
    Ordered Tests and E/M Medical Decision-Making
    APR 21, 2022 in Ask the Expert, Exams, Coding Top 10
    If a provider orders an OCT to be performed before the patient’s next office visit could this be counted as ordering a unique test in the data category for medical decision-making even if the provider can bill for it when the patient comes in for the test?
    • Comments 0
    • Views 196
    Outpatient Office Visit During Inpatient Stay
    APR 21, 2022 in Exams, Coding Top 10, Coding Competency, Ask the Expert
    We recently had a patient sent to us from our local hospital. We coded the office visit with E/M code 99204 and billed for fundus photos, CPT 92250. Both the office visit and the photos were denied by Medicare, which said the place of service is inconsistent with the procedu…
    • Comments 0
    • Views 92
    Coding Top 10 - April 2022
    MAR 31, 2022 in Coding Competency, Modifiers, Coding Updates, Glaucoma, Ask the Expert, Pediatric/Strabismus, Cataract/Anterior Segment, CPT, ICD-10, Exams, Oculofacial, Retina, Coding Top 10
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 497
    During the pandemic, when patients had to be seen virtually, we were able to bill a video/telehealth appointment. Are we able to continue billing for telehealth visits?
    MAR 15, 2022 in Exams, Modifiers, Telemedicine, Ask the Expert, Coding Top 10
    During the pandemic, when patients had to be seen virtually, we were able to bill a video/telehealth appointment. Are we able to continue billing for telehealth visits?
    • Comments 0
    • Views 81
    If a contact lens is stuck and the patient is unable to remove it, can you charge a foreign body removal code? Also, is an eyelash considered a foreign body?
    MAR 15, 2022 in Exams, Ask the Expert, Coding Top 10, Coding Competency
    If a contact lens is stuck and the patient is unable to remove it, can you charge a foreign body removal code? Also, is an eyelash considered a foreign body?
    • Comments 0
    • Views 129
    Evaluation and Management Documentation for Glaucoma Suspect
    MAR 15, 2022 in Ask the Expert, Coding Top 10, Coding Competency, Testing Services, Exams
    A patient is a glaucoma suspect and has chronic dry eyes. The visual fields ordered and performed were suspicious for disease progression. The plan is for patient to follow up in 1-2 months with repeat visual field. What level evaluation and management (E/M) does the documen…
    • Comments 0
    • Views 134
    Coding Top 10 - March 2022
    MAR 03, 2022 in Coding Top 10, Coding Updates, Pediatric/Strabismus, Glaucoma, Coding Competency, ICD-10, Cataract/Anterior Segment, CPT, Modifiers, Exams, Oculofacial, Ask the Expert, Retina
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 981
    Coding Top 10 - January 2022
    JAN 26, 2022 in Glaucoma, Coding Updates, Cataract/Anterior Segment, Ask the Expert, Exams, Retina, Coding Top 10, ICD-10
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 1395
    CPT codes for Medicare Part B patient with shingles
    JAN 26, 2022 in Ask the Expert, Coding Top 10, Exams
    Our doctor saw an existing patient with Medicare Part B in the hospital for a brief consult for shingles. Which range of CPT codes should we use?
    • Comments 0
    • Views 56
    G2212 still valid code in 2022
    JAN 26, 2022 in Coding Top 10, Ask the Expert, Exams
    Is G2212 still a valid code in 2022?
    • Comments 0
    • Views 120
    Glaucoma Screening Benefits Reminder
    JAN 05, 2022 in Glaucoma, Ask the Expert, Exams
    Carrier Medical Directors for Part B Medicare would like all ophthalmologists and their staff to recall the components of the glaucoma screening benefit.
    • Comments 0
    • Views 217
    Congratulations to OCS and OCSR Designees
    DEC 08, 2021 in Modifiers, Cornea, Pediatric/Strabismus, Cataract/Anterior Segment, Coding Updates, CPT, Exams, Glaucoma, Testing Services, ICD-10, Oculofacial, Coding Competency, Retina
    Individuals who who have passed the Ophthalmic Coding Specialist and/or Ophthalmic Coding Specialist Retina exams.
    • Comments 0
    • Views 377
    Coding Top 10 - November 2021
    NOV 04, 2021 in Glaucoma, Cataract/Anterior Segment, Ask the Expert, Coding Updates, Exams, Pediatric/Strabismus, Coding Top 10, ICD-10
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 1349
    Billing when not the attending physician
    NOV 04, 2021 in Exams, Ask the Expert
    One of our physicians was called in to check a patient while she was in observation care. We are not the attending physician. How do we bill for this as an ophthalmologist?
    • Comments 0
    • Views 122
    1-20 of 137 results
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