• My Dashboard My Education Find an Ophthalmologist
  • Home
  • Coronavirus
  • For Ophthalmologists
    • Meetings
      • AAO 2022
        • Meeting Information
          • Past and Future Meetings
          • Mobile Meeting Guide
          • Contact Information
          • Annual Meeting News
          • Health and Safety
          • Policies and Disclaimers
        • Program
          • Program Highlights
          • Subspecialty Day
          • Virtual Meeting
          • Program Committees
          • CME
          • Meeting Archives
        • Expo
        • Registration
        • Hotels & Travel
          • Hotel Reservation Information
          • Chicago
          • International Attendees
          • Hotel Meeting Space
        • Presenter Central
          • Presenter Central
          • Abstract Selection Process
          • Submission Policies
          • Subject Classification/Topics
          • Instruction Courses and Skills Transfer Labs
          • Papers and Posters
          • Videos
          • Grand Rounds Symposium
          • Program Participant and Faculty Guidelines
          • Faculty Development Program
        • Exhibitors
          • Exhibitor Central
          • Exhibitor Portal Information
          • Exhibitor Prospectus
          • New Exhibiting Companies
          • Exhibitor Resources
          • International Exhibitors
          • Promotional Opportunities
          • Exhibitor Hotel Reservations
      • Mid-Year Forum
        • Registration and Travel
        • Congressional Advocacy Day
        • Advocacy Ambassador Program
        • Program
        • Schedule
        • Sponsored Attendees
        • News
      • Codequest
        • Codequest Instructors
        • Claim Codequest CME or CEU Credit
      • Eyecelerator
    • Clinical Education
      • COVID-19
      • Education
        • Browse All Education
        • Courses
        • Cases
        • Learning Plans
        • Interactive
        • Focal Points
        • Wills Eye Manual
        • Disease Reviews
        • Clinical Webinars
        • Diagnose This
        • Self-Assessments
        • Educational Centers
          • Glaucoma Education Center
          • Pediatric Ophthalmology Education Center
          • Laser Surgery Education Center
          • Myopia Resources
          • Oculofacial Plastic Surgery Center
          • Redmond Ethics Center
      • Journals
      • Guidelines
        • Browse All Practice Guidelines
        • Preferred Practice Patterns
        • Clinical Statements
        • Compendium Guidelines
        • Complementary Therapy Assessments
        • Medical Information Technology
        • Ophthalmic Technology Assessments
        • Patient Safety Statements
        • Choosing Wisely
        • Low Vision
        • Eye Care for Older Adults
        • Eye Disease Statistics
        • About the Hoskins Center
      • Video and Image Library
        • Browse All Videos
        • Clinical and Surgical Videos
        • Presentations and Lectures
        • 1-Minute Videos
        • Master Class Videos
        • Basic Skills Videos
        • Interviews
        • Images
        • Submit an Image
        • Submit a Video
      • Podcasts
        • Browse All Audio and Podcasts
        • Experts InSight
        • Ophthalmology Journal
      • News
        • Browse All Clinical News
        • Editors' Choice
        • Headlines
        • Current Insight
      • CME Central
        • Browse All CME Activities
        • Claim CME Credit and View Transcript
        • CME Planning Resources
        • Complete Your Financial Disclosure
        • Joint Sponsorship Portal
        • LEO Continuing Education Recognition Award
        • Safe ER/LA Opioid Prescribing
        • Check Your Industry Payment Records
      • MOC
      • Resident Education
        • Resident Education Home
        • Browse All Resident Content
          • Courses
          • Flashcards
          • Interactive Cases and Simulations
          • Videos
          • Webinars
        • OKAP and Board Exam Resources
          • OKAP Exam
          • Board Prep Resources
          • OKAP and Board Review Presentations
          • Study Flashcards
        • Cataract Master
        • Diversity and Inclusion Education
        • News and Advice from YO Info
        • Pediatric Ophthalmology Education Center
        • PGY-1 and PGY-2 Resources
        • Simulation in Resident Education
    • Membership
      • Join
      • Renew
      • Current Member
      • Volunteer
      • Physician Wellness
      • Member Directory
      • Member Obituaries
      • AAOE Membership
    • Advocacy
      • Advocacy News
      • Get Involved
        • Ways to Give
        • How to Get Involved
        • Congressional Advocacy
        • Support the Academy's Agenda
        • Research Legislation
        • Find Your Legislators
        • I Am an Advocate
        • Advocacy at Home
        • Advocate Tools
        • Best Practices for Advocating at Home
        • Social Media Toolkit
        • Letter to Editor
        • Town Hall Guide
        • Guide to Engaging With New Lawmakers
        • Resources
        • Attending a Political Fundraiser
      • OPHTHPAC
        • About Us
        • Join OPHTHPAC
        • OPHTHPAC Blog
      • Surgical Scope Fund
        • Support Surgery By Surgeons
        • Surgery By Surgeons Blog
    • Publications
      • EyeNet Magazine
        • Latest Issue
        • Archive
        • Subscribe
        • Advertise
        • Write For Us
        • Corporate Lunches
        • Contact
        • MIPS 2022
      • Focal Points
      • Ophthalmology
      • Ophthalmology Glaucoma
      • Ophthalmology Retina
      • YO Info
      • Scope
    • Subspecialties
      • Cataract/Anterior Segment
      • Comprehensive Ophthalmology
      • Cornea/External Disease
      • Glaucoma
      • Neuro-Ophthalmology/Orbit
      • Ocular Pathology/Oncology
      • Oculoplastics/Orbit
      • Pediatric Ophthalmology/Strabismus
      • Refractive Management/Intervention
      • Retina/Vitreous
      • Uveitis
    • IRIS Registry
      • About
      • Using the Registry
        • User Guide
        • Medicare Reporting
        • Maintenance of Certification
        • Non-EHR Reporting
      • Sign Up
        • Application Process
        • Why Participate
        • Once You've Applied: Getting Started
        • What Practices Are Saying About the Registry
      • Requirements
        • EHR Systems
        • Data & Technical Needs
      • Research
      • Registry Dashboard
      • News
      • Medicare & MIPS
    • Medicare Information
    • Diversity, Equity, and Inclusion
  • For Practice Management
    • Managing Your Practice
      • Managing Your Practice Topics
      • Coronavirus Resources
      • Reopening & Recovery
      • Practice Forms Library
      • Practice Management News and Advice
      • AAOE-Talk
      • Video Library
      • Ophthalmology Job Center
      • Benchmarking and Salary Tools
      • Academy Consultations
      • Consultant Directory
    • Coding
      • Coding Topics
      • Codequest Events
      • Ask the Coding Experts
      • Coding Updates and Resources
      • Coding for Injectable Drugs
      • EM Documentation
      • ICD-10-CM
      • Ophthalmic Coding Specialist (OCS) Exam
      • Retina
      • Savvy Coder
    • Webinars and Events
      • Annual Meeting
        • Master Classes
        • Coding Sessions
        • Submit an Instruction Course
      • Codequest Courses
      • Mid-Year Forum
      • Webinar Recordings
      • Upcoming Webinars
    • IRIS Registry
      • Merit-Based Incentive Payment
    • Medicare and MIPS
      • MIPS
        • Quality
        • Promoting Interoperability
        • Improvement Activities
        • Cost
        • Avoid a Penalty
      • Resources
      • Medicare Participation Options
      • Medicare Advantage Plans
      • New Medicare Card
      • Provider Enrollment, Chain and Ownership System (PECOS)
    • Regulatory Compliance
      • HIPPA Resources
      • Office of Inspector General
      • Audits
      • OSHA
    • AAOE Membership
      • Join AAOE
      • Membership Benefits
      • Renew/Pay Dues
    • About AAOE
      • AAOE Board of Directors
      • AAOE Content Committee
      • Volunteer Opportunities
  • For Public & Patients
    • Eye Health A-Z
    • Symptoms
    • Glasses & Contacts
    • Tips & Prevention
    • News
    • Ask an Ophthalmologist
    • Patient Stories
    • No Cost Eye Exams
    • Español
      • A - Z de Salud Ocular
      • Síntomas
      • Anteojos y Lentes de Contacto
      • Consejos y Prevención
      • Noticias
      • Relatos de Pacientes
      • Exámenes de la vista sin costo
      • English
  • AAO 2022
    • Meeting Information
      • Past and Future Meetings
      • Mobile Meeting Guide
      • Contact Information
      • Annual Meeting News
      • Health and Safety
      • Policies and Disclaimers
    • Program
      • Program Highlights
      • Subspecialty Day
      • Virtual Meeting
      • Program Committees
      • CME
      • Meeting Archives
    • Expo
    • Registration
    • Hotels & Travel
      • Hotel Reservation Information
      • Chicago
      • International Attendees
      • Hotel Meeting Space
    • Presenter Central
      • Presenter Central
      • Abstract Selection Process
      • Submission Policies
      • Subject Classification/Topics
      • Instruction Courses and Skills Transfer Labs
      • Papers and Posters
      • Videos
      • Grand Rounds Symposium
      • Program Participant and Faculty Guidelines
      • Faculty Development Program
    • Exhibitors
      • Exhibitor Central
      • Exhibitor Portal Information
      • Exhibitor Prospectus
      • New Exhibiting Companies
      • Exhibitor Resources
      • International Exhibitors
      • Promotional Opportunities
      • Exhibitor Hotel Reservations
  • About
    • Who We Are
      • What We Do
      • About Ophthalmology
      • The Eye Care Team
      • Ethics and the Academy
      • History
      • Museum of Vision
      • Values
    • Governance
      • Council
      • Board of Trustees
      • Committees
      • Academy Past Presidents
      • Secretariats
      • Elections
      • Academy Blog
      • Academy Staff Leadership
    • Leadership Development
    • Awards
      • Laureate Recognition Award
      • Outstanding Advocate Award
      • Outstanding Humanitarian Service Award
      • International Blindness Prevention Award
      • Distinguished Service Award
      • Guests of Honor
      • Secretariat Award
      • Straatsma Award
      • Achievement Award Program
      • Artemis Award
      • EnergEYES Award
      • International Education Award
      • International Scholar Award
      • Commitment to Advocacy Award
      • Visionary Society Award
    • Financial Relationships
    • Policy Statements
    • Related Organizations
      • Subspecialty/Specialized Interest Society Directory
      • State Society Directory
      • Subspecialty/Specialized Interest Society Meetings
      • State Society Meetings
      • Resources for Societies
    • Year in Review
      • 2020 Year in Review
  • Foundation
    • About
      • 2020-2021 Annual Report
      • Annual Report Archives
      • News From the Chair
      • Foundation Staff
    • Our Impact
      • Partners for Sight
      • Donor Spotlights
      • Global Ophthalmic Community
      • Sponsorships
      • Patients and the Public
    • Giving Options
      • Our Supporters
      • Estate and Planned Giving
      • Ophthalmic Business Council
      • Parke Center Campaign
      • Minority Ophthalmology Mentoring Campaign
      • Museum of the Eye Campaign
    • Orbital Gala
      • Why Attend
      • Photo Recap
      • Corporate Support Opportunities
      • Tribute Gifts
      • Silent Auction
      • Corporate Sponsors
    • Donate
    • Museum of the Eye Campaign
      • Museum Supporters
  • Museum of the Eye
    • Visit
    • What's On
      • Museum Galleries
      • Special Exhibitions
      • Current Events
      • Past Events
    • Explore
      • Research and Resources
      • Collection Search
      • Previous Exhibits
      • Oral Histories
      • Biographies
    • Volunteer
    • Mailing List
    • Donate
    • About the Museum
      • Museum Blog
  • Young Ophthalmologists
    • YO Info
    • Learn to Bill
    • Engage with the Academy
  • Senior Ophthalmologists
    • Scope
    • Practice Transitions
  • International Ophthalmologists
    • Global Programs and Resources for National Societies
    • Awards
    • Global Outreach
  • Residents
  • Medical Students
×
Shop
Log In Create an Account
  • For Ophthalmologists
  • For Practice Management
  • For Public & Patients
  • Coronavirus
  • About
  • Foundation
  • Museum of the Eye
  • Managing Your Practice
    • Managing Your Practice
    • Managing Your Practice Topics
    • Coronavirus Resources
    • Reopening & Recovery
    • Practice Forms Library
    • Practice Management News & Advice
    • AAOE-Talk
    • Video Library
    • Ophthalmology Job Center
    • Benchmarking & Salary Tools
    • Academy Consultations
    • Consultant Directory
  • Coding
    • Coding
    • Coding Topics
    • Ask the Coding Experts
    • Codequest Events
    • Coding for Injectable Drugs
    • Coding for Ocular Trauma
    • Coding Updates & Resources
    • EM Documentation
    • ICD-10-CM
    • Ophthalmic Coding Specialist (OCS) Exam
    • Retina
    • Savvy Coder



    >

  • Webinars & Events
    • Annual Meeting
      • Master Classes
      • Coding Sessions
      • Submit an Instruction Course
    • Codequest Courses
    • Mid-Year Forum
    • Webinar Recordings
    • Upcoming Webinars
  • IRIS Registry
    • IRIS Registry
    • Merit-Based Incentive Payment
  • Medicare & MIPS
    • Medicare & MIPS
    • MIPS
      • Quality
      • Promoting Interoperability
      • Improvement Activities
      • Cost
      • Avoid a Penalty
    • Resources
    • Medicare Participation Options
    • Medicare Advantage Plans
    • New Medicare Card
    • Provider Enrollment, Chain and Ownership System (PECOS)
  • Regulatory Compliance
    • Regulatory Compliance
    • HIPAA Resources
    • Office of Inspector General
    • Audits
      • Cotiviti Government Services
      • Cotiviti
      • Performant
      • Zone Program Integrity Contractor
      • AdvanceMed
      • Targeted Probe and Educate
      • Office of Inspector General
    • OSHA
  • AAOE Membership
    • Join AAOE
    • Membership Benefits
    • Renew/Pay Dues
    • AAOE Membership
  • About AAOE
    • About AAOE
    • AAOE Board of Directors
    • AAOE Content Committee
    • Volunteer Opportunities
    • For Practice Management /
    • Coding /
    • Ask the Coding Experts
  • Narrow Your Results

    Select Code Type

    Select Topic














    Select Category

  • About Our Coding Experts

    About Our Coding Experts

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

    David B. Glasser, MD
    Secretary, Federal Affairs

    Michael X. Repka, MD, MBA
    Medical Director, Government Affairs

    Joy Woodke, COE, OCS, OCSR
    Director, Coding and Reimbursement

    Matthew Baugh, MHA, COT, OCS, OCSR
    Manager, Coding and Reimbursement

    Heather H. Dunn, COA, OCS, OCSR
    Manager, Coding and Reimbursement

    Ask the Experts!

    Email coding@aao.org

  • 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 81 results
    12345
    Punctal Plug Supply Billing
    APR 22, 2022 in Cornea, Coding Competency, Coding Top 10, Ask the Expert
    Are we able to bill patients directly for the lacrimal plugs due to Medicare bundling them with the plug placement procedures?
    • Comments 0
    • Views 123
    Unable to Properly Fit Prokera
    MAR 30, 2022 in Coding Top 10, Ask the Expert, Cornea
    A cornea specialist asks if it is appropriate to bill for Prokera placement (65778) when the patient’s corneal anatomy caused the Prokera ring to be highly mobile on the eye and not stay in place. It had to be removed immediately.
    • Comments 0
    • Views 26
    Is there a modifier code we can use to bill cataract surgery after a superficial keratectomy has been done without waiting the standard 90-day global period?
    MAR 02, 2022 in Cornea, Ask the Expert, Modifiers, Cataract/Anterior Segment, Coding Top 10
    Is there a modifier code we can use to bill cataract surgery after a superficial keratectomy has been done without waiting the standard 90-day global period?
    • Comments 0
    • Views 74
    Collect self-pay fee for Intralase laser used during Intralase Enabled Keratoplasty (IEK)
    MAR 02, 2022 in Cornea, Coding Top 10, Ask the Expert
    Can we collect a self-pay fee from the patient for the Intralase laser used during Intralase Enabled Keratoplasty (IEK)procedure? The Intralase laser incision will be performed in our procedure room first and then the patient is brought to the operating room for the keratopl…
    • Comments 0
    • Views 24
    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 380
    Fact Sheet: Coding for XCELLERATE
    DEC 07, 2021 in Cornea, Coding Updates
    Fact sheet that helps you appropriately code for XCELLERATE, a self-retaining lyophilized membrane that promotes corneal wound healing. It naturally dissolves in 3-5 days but may be removed earlier if the patient’s condition improves.
    • Comments 0
    • Views 800
    CPT code for Meibomian Gland Expression
    MAR 05, 2021 in Cornea, Ask the Expert, CPT
    Q: Is there a code for meibomian gland expression?
    • Comments 0
    • Views 2598
    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
    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 142
    Billing Multiple Layer AMT
    JUN 24, 2020 in Cornea, Ask the Expert
    Our physicians placed multiple layers of membrane with glue only, no sutures are involved. Is this considered CPT code 65780 Ocular surface reconstruction; amniotic membrane transplantation, multiple layers?
    • Comments 0
    • Views 166
    Billing Corneal Hysteresis
    MAR 01, 2020 in Cornea, CPT, Ask the Expert, Coding Updates, Coding Top 10
    Question: Our practice just acquired equipment for corneal hysteresis. Can you tell me the appropriate CPT code to bill?
    • Comments 0
    • Views 467
    Billing Punctal Plugs for Medicare
    DEC 18, 2019 in Modifiers, Ask the Expert, Cornea
    Question: How should I bill punctal plugs for Medicare patients? We always bill the Eye visit code with modifier -25, along with 68761 -RT and 68761 -LT, however Medicare is no longer processing the claim.
    • Comments 0
    • Views 1776
    Separate Billing of Photrexa with Corneal Cross-linking
    DEC 18, 2019 in Cornea, Ask the Expert
    Question: When performing corneal cross-linking (CXL), do payers allow for separate billing of Photrexa?
    • Comments 0
    • Views 908
    Billing Plugs to Commercial Payer
    DEC 11, 2019 in Ask the Expert, Cornea
    Question: While Medicare bundles punctal plugs into the insertion code, I thought commercial payers pay separately, however A4263 for silicone, is being denied. Is there another code we should bill?
    • Comments 0
    • Views 252
    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 457
    Billing DWEK
    NOV 06, 2019 in Ask the Expert, CPT, Cornea
    Question: My surgeon states she performed DWEK. I am unsure what CPT code we should be using.
    • Comments 0
    • Views 573
    Corneal Culture in Facility
    NOV 06, 2019 in Ask the Expert, Cornea
    Question: Our surgeon performed CPT code 65430 Scraping of cornea, diagnostic, for smear and/or culture in the ASC. I do not have a facility fee amount for this service. Are we allowed to bill for this in a facility?
    • Comments 0
    • Views 140
    Intrastromal Injection CPT Code
    SEP 10, 2019 in Ask the Expert, Cornea, CPT
    Question: Our doctor performed an intrastromal corneal injection. Would CPT code 66030 Injection, anterior chamber of eye (separate procedure) medication be appropriate?
    • Comments 0
    • Views 1111
    Suture Removal Under Anesthesia
    SEP 10, 2019 in Cornea, Pediatric/Strabismus, Ask the Expert
    Question: During the post-operative period of a corneal laceration repair, our surgeon performed an exam under anesthesia because of the patient’s due to poor vision, as well as, removed sutures. Is it appropriate to bill 92019 EUA, limited and 15850 Removal of sutures under…
    • Comments 0
    • Views 802
    Billing Exam for Separate Complaint
    SEP 10, 2019 in Cornea, CPT, Ask the Expert, Exams
    Question: Our physician saw an established patient complaining of red and itchy eyes. The Diagnosis is allergic conjunctivitis, and abrasion was found that required debridement. Can we bill the exam and the procedure?
    • Comments 0
    • Views 581
    1-20 of 81 results
    12345
  • The Academy Store
    2022 Coding Coach: Complete Ophthalmic Coding Reference 
    2022 CPT: Complete Pocket Ophthalmic Reference
    2022 Retina Coding: Complete Reference Guide
    2022 Fundamentals of Ophthalmic Coding
    2022 CPT Professional Edition 
    2022 HCPCS Level ll Professional Edition
    2022 Coding Assistant for Subspecialties 
    2022 Coding Assistant: Cataract and Anterior Segment
    2022 Coding Assistant: Cornea
    2022 Coding Assistant: Glaucoma
    2022 Coding Assistant: Oculofacial
    2022 Coding Assistant: Pediatrics/Strabismus
    2022 ICD-10-CM for Ophthalmology: The Complete Reference 
    Ultimate Documentation Compliance Training for Scribes and Technicians
    Chart Audit Consultation - Hourly
    Chart Audit Consultation - Daily
    Coding and Practice Management Consultations
    Ophthalmic Coding Specialist Exam
    Ophthalmic Coding Specialist Retina Exam
    Coding Consultation - Hourly
    Ophthalmic Coding Coach
  • Most Commented
    Loading, please wait...
    There are no comments available.
    Most Viewed
    Loading, please wait...
    Most Viewed content is not available.
 
  • Contact Us
  • About the Academy
  • Jobs at the Academy
  • Financial Relationships with Industry
  • Medical Disclaimer
  • Privacy Policy
  • Terms of Service
  • Help
  • For Advertisers
  • For Media
  • Ophthalmology Job Center

OUR SITES

  • EyeWiki
  • International Society of Refractive Surgery

FOLLOW THE ACADEMY

Medical Professionals

  • Facebook
  • Twitter
  • LinkedIn
  • YouTube

Public & Patients

  • Facebook
  • Twitter
  • Instagram
  • YouTube

Museum of the Eye

  • Facebook
  • Twitter
  • Instagram
  • YouTube
  • Trip Advisor
  • Yelp
© American Academy of Ophthalmology 2022