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  • 1234
    1-20 of 71 results
    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 83
    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 246
    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 622
    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 163
    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
    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 177
    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 66
    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 274
    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 134
    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 356
    Return Exams for Corneal Rehab Prior to Surgery
    SEP 10, 2019 in Cornea, Ask the Expert, Exams
    Question: Patients return for multiple corneal rehabilitation therapies due to contact lens wear with our optometrist once cataract surgery has been determined medically necessary by one of the surgeons in the practice. Are these exams billable?
    • Comments 0
    • Views 64
    Surgery Requiring General Anesthesia
    SEP 10, 2019 in Cornea, Ask the Expert, Modifiers
    Question: The surgeon performed CPT code 65222 -RT Removal of foreign body, external eye; corneal, with slit lamp under general anesthesia for a pediatric patient. Is there an additional modifier to append?
    • Comments 0
    • Views 141
    Bilateral Punctal Plug Denial
    JUL 31, 2019 in CPT, Cornea, Modifiers, Ask the Expert
    Question: I performed bilateral punctal plugs and submitted to Novitas Medicare CPT code 68761 with modifier -50 and 1 unit. I received a denial due to incorrect modifier. Is there another modifier that should be used?
    • Comments 0
    • Views 381
    Oxervate Training
    JUL 31, 2019 in Exams, Cornea, Ask the Expert
    Question: When prescribed Oxervate for neurotrophic keratitis, the patient is required to return for training and care of vials. Can we bill insurance for the training, which is performed by the technician, if we have an order?
    • Comments 0
    • Views 106
    CPT Code for Swabbing Cornea
    JUL 30, 2019 in CPT, Cornea, Ask the Expert
    Question: Our physician frequently swabs an area of the eye and sends the sample to be cultured. The closest CPT code I see is 65430 Scraping of cornea, diagnostic, for smear and/or culture. However, its is not scraping, so I am unsure if we should submit.
    • Comments 0
    • Views 700
    Billing for Injection Related to Pterygium Surgery
    JUL 08, 2019 in Cornea, Ask the Expert
    Question: For the purpose of disrupting the vascular supply to the pterygium to prevent further growth and to reduce any potential damage to the cornea during the excision, our surgeon wants to inject mitomycin C first, followed by excision at another date. What is billable…
    • Comments 0
    • Views 150
    Billing Serum Tears
    JUL 08, 2019 in Ask the Expert, Cornea, CPT
    Question: Is the office preparation of serum tears billable to insurance?
    • Comments 0
    • Views 612
    Removal of DSEK
    MAY 07, 2019 in Cornea, Ask the Expert, CPT
    Question: What procedure code is appropriate for the removal of DSEK because the patient has endophthalmitis?
    • Comments 0
    • Views 136
    Correct NDC When Wasting Photrexa Viscous
    MAY 07, 2019 in Cornea, Ask the Expert
    Question: It is my understanding that Photrexa viscous will not always be used during the procedure. When only the Photrexa is administered, would it be more appropriate to bill with NDC 25357-023-01 with J2787 as that is the more accurate NDC?
    • Comments 0
    • Views 75
    CPT Code for Conjunctival Peritomy and Exploration
    MAY 07, 2019 in Cornea, CPT, Ask the Expert
    Question: Our surgeon plans to perform a conjunctival peritomy/scleral exploration due to a slow leak from a previous pars plana vitrectomy. The surgery will consist of make an incision in the conjunctiva and pulled back to explore the sclera, and possibly suture, if needed.…
    • Comments 0
    • Views 586
    1234
    1-20 of 71 results
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