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    About Our Coding Experts

    Our expert staff have decades of combined experience, covering all aspects of coding and reimbursement.

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  • 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.

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    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
    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
    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 980
    Advise on Medicare denial 67036 Vitrectomy, mechanical, pars plana approach for a Medicare patient with diagnosis of Cataract (lens) fragments in eye following cataract surgery, left eye
    MAR 02, 2022 in ICD-10, Ask the Expert, Retina, Coding Top 10
    My retinal doctor has charged 67036 Vitrectomy, mechanical, pars plana approach for a Medicare patient with diagnosis of Cataract (lens) fragments in eye following cataract surgery, left eye. Medicare is denying as: 67036 SMARTEDIT LBI PER LCD OR NCD GUIDELINES PROCEDURE C…
    • Comments 0
    • Views 314
    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
    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
    Coding Top 10 - September 2021
    SEP 22, 2021 in Retina, Oculofacial, Testing Services, ICD-10, Cataract/Anterior Segment, Exams, Glaucoma, Coding Top 10, Ask the Expert, Coding Updates
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 852
    Coding Top 10: Unbundling 92250 with 92133 or 92134, Denials for testing services with code N433, Determining the correct modifier
    JUL 22, 2021 in ICD-10, Ask the Expert, Coding Top 10, Coding Updates
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 1530
    Coding Top 10: Payment for Intra-operative Injection , Practice Telemedicine Protocol, Billing Consultation Codes When Medicare is Secondary
    MAY 13, 2021 in Coding Top 10, ICD-10, Ask the Expert, Coding Updates
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 666
    Corneal Laceration - Coding for Ocular Trauma case study
    APR 20, 2021 in Trauma Coding, ICD-10, Exams, Ask the Expert, CPT, E/M
    First day on the job at a home improvement store, an 18-year-old cuts the metal band around layers of stacked wood. The metal band flipped lacerating his cheek to forehead, including eye on the left side of his face.
    • Comments 0
    • Views 377
    Canalicular Laceration - Coding for Ocular Trauma case study
    APR 20, 2021 in Exams, Trauma Coding, CPT, ICD-10, E/M, Ask the Expert
    Exam revealed right lower canalicular laceration from wire hidden in lawn.
    • Comments 0
    • Views 166
    Commotio Retina Involving Macula - Coding for Ocular Trauma case study
    APR 20, 2021 in Ask the Expert, CPT, E/M, ICD-10, Trauma Coding, Exams
    8-year-old nephew of retina specialist was hit in left eye with soccer ball. Immediately complained of decreased vision.
    • Comments 0
    • Views 171
    Coding Top 10: Moderate Decision Making for Medically Necessary Surgery, Billing Telemedicine Emergency Exam and Follow-up, Billing Injectables to Skilled Nursing Facility
    MAR 17, 2021 in Coding Top 10, Coding Updates, Ask the Expert, 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 1222
    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 1360
    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 490
    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 673
    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 1073
    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 157
    1-20 of 135 results
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