Coding News and Expert Advice

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.
1-20 of 120 results
1 2 3 4 5 Next »

Coding Top 10: Injection Same Day as Cataract Surgery, Glaucoma Drainage Device, Billing Exam for Separate Complaint Implant After Failed TCP

SEP 22, 2020 in ICD-10, Coding Top 10, Coding Updates, Ask the Expert

Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.

Comments 0

Views 1117

Injection Same Day as Cataract Surgery

SEP 20, 2020 in Retina, ICD-10, Ask the Expert

Can CPT code 67028 Intravitreal injection for diabetic retinopathy be billed for the same eye during cataract surgery?

Comments 0

Views 316

Appropriate ICD-10 code for anterior corneal dystrophy

SEP 20, 2020 in ICD-10, Ask the Expert, Cornea

Which ICD-10 diagnosis code is appropriate for anterior corneal dystrophy?

Comments 0

Views 395

ICD-10 code for headaches not based examination

SEP 20, 2020 in Ask the Expert, ICD-10, Coding Competency

We have a patient who complains of headaches; however, the physician is not classifying it as a migraine based on examination. What ICD-10 code should we use?

Comments 0

Views 448

Glaucoma Drainage Device Implant After Failed TCP

SEP 20, 2020 in ICD-10, Glaucoma, Ask the Expert

I’m performing an Ahmed tube implantation with patch graft within the global period of a failed transscleral cyclophotocoagulation. What CPT code and modifier is appropriate?

Comments 0

Views 112

ABN Usage for Dual-Eligible Patients

SEP 20, 2020 in ICD-10, Ask the Expert, Coding Competency

We have a patient who qualifies for Qualified Medicare Beneficiary (QMB). Are we able to use an Advance Beneficiary Notice (ABN) for a lesion removal?

Comments 0

Views 157

Applicable diagnosis code for rejection to corneal transplant

SEP 20, 2020 in Ask the Expert, ICD-10, Cornea

Our physician states the patient’s diagnosis is rejection to corneal transplant. Is there an applicable diagnosis code?

Comments 0

Views 77

ICD-10 Code for Inferior Oblique Overaction

AUG 14, 2020 in ICD-10, Pediatric/Strabismus, Ask the Expert, Oculofacial

I am searching for an inferior oblique overaction ICD-10 diagnosis code.

Comments 0

Views 215

ICD-10 Code for Infectious Retinitis

JUN 24, 2020 in Ask the Expert, ICD-10

We have a patient with infectious retinitis, not cytomegalovirus (CMV). Is there a specific ICD-10 code to be used?

Comments 0

Views 112

Excludes1 Edits Now Being Applied

DEC 11, 2019 in Ask the Expert, Pediatric/Strabismus, ICD-10

Question: There is an Excludes1 edit that states H50. strabismus codes cannot be submitted with H53. amblyopia codes for the same service. We are now seeing denials where previously payers were allowing us to bill both diagnoses. How should we go forward?

Comments 0

Views 222

ICD-10 Code for Failed Vision Screening

DEC 11, 2019 in ICD-10, Pediatric/Strabismus, Ask the Expert

Question: Is there an ICD-10 code for failed vision screening?

Comments 0

Views 699

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 412

Oil Removal Diagnosis When Detachment Is No Longer Present

NOV 06, 2019 in Ask the Expert, ICD-10, Retina

Question: What is the proper diagnosis code for removal of oil months after the retinal detachment has been repaired and the patient no longer has the detachment?

Comments 0

Views 180

Diagnosis for Scurf on Lids

SEP 10, 2019 in Ask the Expert, ICD-10

Question: We are trying to determine the best ICD-10 code for scurf and mild sleeving on the lids.

Comments 0

Views 310

Diagnosis for Peripapillary Atrophy

SEP 10, 2019 in Ask the Expert, ICD-10, Retina

Question: Our physician is performing fundus photography for peripapillary atrophy, and the only diagnosis we can find is H31.20 Hereditary choroidal dystrophy, unspecified, which is not accepted by our payer. Is there another diagnosis we should try?

Comments 0

Views 879

ICD-10 Code for Corneal Scar Status-Post Laceration

MAR 12, 2019 in Exams, Cornea, ICD-10, Ask the Expert

Question: We have a patient who is status-post corneal laceration and now has scarring. What is the best ICD-10 code to use as we are unsure about sequela codes?

Comments 0

Views 411

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 721

Foreign Body with Abrasion Noted

FEB 04, 2019 in ICD-10, Ask the Expert, Cornea

Question: We have a patient who had a corneal foreign body removed. An abrasion was also noted. Our physician wants to bill both ICD-10 codes: T15.02XA Foreign body of cornea and S05.02XA Corneal abrasion without foreign body. Could this cause a denial?

Comments 0

Views 352

Coding Top Ten: ICD-10 Codes for Meibomian Gland Dysfunction, Brow Ptosis and Disorders of Eye and Adnexa

DEC 04, 2018 in Coding Top 10, CPT, 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 2262

Invalid Diagnosis Code

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

Question: I billed with ICD-10 code H57.8 Other specified disorders of eye and adnexa and received a denial from Medicare stating this is invalid. Are they no longer accepting this diagnosis?

Comments 0

Views 516

1-20 of 120 results
1 2 3 4 5 Next »

Narrow Your Results

Select Code Type

Select Topic

Select Category

About Our Coding Experts

OUR SITES

FOLLOW THE ACADEMY