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 126 results
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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 882

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 603

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 215

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 101

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 92

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 1168

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 1306

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 417

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 599

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 770

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 143

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 201

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 117

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 556

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 216

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 224

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 959

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 431

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 197

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 406

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