Coding News and Expert Advice

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Coding Top 10: Goniotomy and Other Glaucoma Surgery Same Day, Epilation Sooner than Eight Weeks and New Diagnosis Prompting Another Injection Less than 28 Days

MAR 13, 2019 in ICD-10, CPT, Glaucoma, Coding Top 10, Oculofacial, Cataract/Anterior Segment, Cornea, Pediatric/Strabismus, Exams, Retina

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: Goniotomy and Other Glaucoma Surgery Same Day, Epilation Sooner than Eight Weeks and New Diagnosis Prompting Another…

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Views 1328

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?

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Views 115

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?

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Views 265

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?

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Views 175

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.

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Views 1403

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?

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Views 343

ICD-10 Code for Brow Ptosis

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

Question: Our surgeon will be performing a brow ptosis procedure; however there is no applicable ICD-10 code. What is the appropriate diagnosis to submit?

Comments 0
Views 499

ICD-10 Code for Completion of Plaquenil Treatment

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

Question: What is an appropriate ICD-10 code for a patient who has completed their Plaquenil treatment?

Comments 0
Views 252

ICD-10 Code for Rule Out Child Abuse

DEC 03, 2018 in ICD-10, Ask the Expert, Pediatric/Strabismus

Question: Our physician saw a patient to rule out child abuse. There was no ocular trauma noted, and it was a normal exam. Is there an ICD-10 code we should submit?

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Views 71

ICD-10 Code for Meibomian Gland Dysfunction

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

Question: Do we use ICD-10 code H02.89 Other specified disorders of eyelid for Meibomian Gland Dysfunction, or is there a better code?

Comments 0
Views 1363

ICD-10 Code for Clonic Hemifacial Spasm

DEC 03, 2018 in ICD-10, Pediatric/Strabismus, Ask the Expert

Question: Is there an ICD-10 code for clonic hemifacial spasm?

Comments 0
Views 147

Requirement of X Placeholder

SEP 19, 2018 in Ask the Expert, ICD-10

Question: We have a patient who was sent to us for flashes in the right eye after being hit in the eye by a foul ball. I see ICD-10 code W51 Striking against or struck accidentally in sports without subsequent fall,” but am unsure how to use it.

Comments 0
Views 130

ICD-10 for Avellino Corneal Dystrophy

AUG 21, 2018 in ICD-10, Ask the Expert, Cornea

Question: What is the ICD-10 code for avellino corneal dystrophy?

Comments 0
Views 119

Vitrectomy Battle Still Underway

JUN 05, 2018 in ICD-10, Coding Updates, Retina

The Centers for Medicare & Medicaid Services revised its Vitrectomy National Coverage Determination (NCD) policy 80.11 in October 2017 to update applicable ICD-10 codes. Instead of removing redundant diagnoses, as they stated was the goal, they deleted approximately 25 perce…

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Views 259

Coding for Superficial Keratectomy and Bandage Contact Lens

MAY 15, 2018 in Ask the Expert, Cornea, ICD-10

When billing for a superficial keratectomy in which I remove corneal epithelium, polish with 57 blade and weck cell sponges, plus place a bandage contact lens, is the correct coding 65400 and 92071?

Comments 0
Views 2697

Coding Low- and High-Risk Glaucoma Suspect

MAY 15, 2018 in Glaucoma, ICD-10, Ask the Expert

Our LCD policy no longer allows for glaucoma suspect unspecified. It only allows for low or high risk. How do we determine the appropriate code?

Comments 0
Views 1249

How to Code IOL Removal, New Implant

APR 24, 2018 in Ask the Expert, Cataract/Anterior Segment, ICD-10

Our surgeon removed a dislocated IOL that another surgeon implanted. Then he implanted a new lens. He suggested we bill: 65265 -RT Foreign body removal, nonmagnetic; 67036 -RT Pars plana vitrectomy; and 66985 -RT Secondary IOL implant. Is this submission correct?

Comments 0
Views 320

ICD-10 Code for Conjunctival Laceration Without Corneal Abrasion

APR 24, 2018 in Cornea, Ask the Expert, ICD-10

We recently had a patient who suffered a conjunctival laceration, left eye, without a corneal abrasion. The only diagnosis code we could find, S05.02XA, seems to include a corneal abrasion with the laceration. Is this the correct code?

Comments 0
Views 2013

Visual Field Staging

FEB 21, 2018 in Glaucoma, ICD-10, Ask the Expert

When do we assign a stage to glaucoma: only upon visual field performance?

Comments 0
Views 436

Glaucoma Diagnoses for Anterior Segment OCT

JAN 23, 2018 in ICD-10, Ask the Expert, Testing Services, Glaucoma

If our doctor performs CPT code 92132 Anterior Segment OCT for evaluation of anatomical narrow angles or narrow angle glaucoma, what diagnosis do we use?

Comments 0
Views 378

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