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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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    1-20 of 111 results
    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 184
    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 321
    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 284
    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 148
    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 233
    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 360
    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 319
    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 624
    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 281
    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 1964
    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 462
    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 795
    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 702
    ICD-10 Code for Clonic Hemifacial Spasm
    DEC 03, 2018 in Oculofacial, ICD-10, Ask the Expert
    Question: Is there an ICD-10 code for clonic hemifacial spasm?
    • Comments 0
    • Views 264
    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?
    • Comments 0
    • Views 168
    ICD-10 Code for Meibomian Gland Dysfunction
    DEC 03, 2018 in Cornea, Ask the Expert, ICD-10, Exams
    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 3381
    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 142
    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 131
    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 6121
    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 2038
    12345Next »
    1-20 of 111 results
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