Coding News and Expert Advice

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Congratulations to OCS and OCSR Designees

APR 17, 2023 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.

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Views 860

Billing for Xipere

APR 10, 2023 in Ask the Expert, ICD-10, Retina

Will you provide guidance on billing Xipere? Are other ophthalmic practices experiencing billing issues and/or denials?

Comments 0
Views 177

Coding Top 10 - August 2022

AUG 16, 2022 in Coding Top 10, ICD-10, Modifiers, Cataract/Anterior Segment, CPT, Retina, Pediatric/Strabismus, Telemedicine, Cornea, Testing Services, Trauma Coding, Exams, Coding Competency, Ask the Expert, Oculofacial

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 1182

Coding Top 10 - July 2022

JUL 19, 2022 in Cataract/Anterior Segment, Glaucoma, Testing Services, Coding Top 10, ICD-10, Diabetes, CPT, Exams, Modifiers, Retina, Ask the Expert, Coding Competency

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Views 695

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

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Comments 0
Views 1212

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 1477

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.

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Views 683

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.

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Views 1141

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…

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Views 1154

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.

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Views 1885

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

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Comments 0
Views 1381

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

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Views 910

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

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Views 2318

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 679

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.

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Views 584

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 234

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 243

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 1242

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 1404

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 604

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