Coding News and Expert Advice

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1-20 of 69 results

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?

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Views 82

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 60

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 44

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 57

Coding Top 10: Eye Visit Code Application, Surgery Requiring General Anesthesia and Instratromal Injection CPT Code

SEP 10, 2019 in Exams, Pediatric/Strabismus, CPT, ICD-10, Cornea, Coding Top 10, Retina, Cataract/Anterior Segment, Modifiers, Ask the Expert

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The September coding selections include: Eye Visit Code Application, Surgery Requiring General Anesthesia and Instratromal Injection CPT Code

Comments 0
Views 546

Coding Top 10: Usage of miLoop in Cataract Surgery, CPT Code for Swabbing Cornea and Complex Retina Repair without Membrane Peel

AUG 01, 2019 in Retina, Oculofacial, Exams, Ask the Expert, Cornea, Coding Top 10, Modifiers, Testing Services, Cataract/Anterior Segment, CPT

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The August coding selections include: Usage of miLoop in Cataract Surgery, CPT Code for Swabbing Cornea and Complex Retina Repair without Membrane Peel

Comments 0
Views 1028

Did she keep Oxervate question? If yes, then make title 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 72

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 210

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 205

Coding Top 10: Billing for Injection Related to Pterygium Surgery, Billing Exams in the Global Period and Resolved Diagnosis Follow-Up

JUL 12, 2019 in Retina, Testing Services, CPT, Cataract/Anterior Segment, Exams, Cornea, Coding Top 10, Glaucoma, Modifiers, Oculofacial

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The July coding selections include: Billing for Injection Related to Pterygium Surgery, Billing Exams in the Global Period and Resolved Diagnosis Follow…

Comments 0
Views 1090

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 123

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 155

Coding Top 10: Dilation for E/M Codes, Advanced Glaucoma Testing and Postoperative Exams When Self Pay

JUN 11, 2019 in CPT, Cornea, Coding Top 10, Pediatric/Strabismus, Exams, Testing Services, Oculofacial, Retina, Glaucoma, Cataract/Anterior Segment

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The June coding selections include: Dilation for E/M Codes, Advanced Glaucoma Testing and Postoperative Exams When Self Pay

Comments 0
Views 432

Dedicated Procedure Room Requirements

JUN 10, 2019 in Retina, Oculofacial, Glaucoma, Cataract/Anterior Segment, Cornea, Ask the Expert, Pediatric/Strabismus

Question: What are the requirements for having a dedicated procedure room in our practice?

Comments 0
Views 150

Postoperative Exams When Self Pay

JUN 10, 2019 in Exams, Pediatric/Strabismus, Retina, Glaucoma, Oculofacial, Cataract/Anterior Segment, Ask the Expert, Cornea

Question: When a self-paying patient has medically necessary surgery, are postoperative exams included or separately billed?

Comments 0
Views 192

Coding Top 10: Patient Balance with Medicare as Secondary Payer, Lysis of Adhesions Along with Cataract Surgery and OTC Drug Order with Eye Visit Codes

MAY 08, 2019 in CPT, Exams, Testing Services, Cornea, Coding Top 10, Cataract/Anterior Segment, Retina

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The May coding selections include: Patient Balance with Medicare as Secondary Payer, Lysis of Adhesions Along with Cataract Surgery and OTC Drug Order wi…

Comments 0
Views 212

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 117

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 44

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 247

CPT Code for Extraction of a Loa Loa Eye Worm

MAY 07, 2019 in Ask the Expert, CPT, Cornea, Cataract/Anterior Segment

Question: What is the best CPT code for extraction of a Loa Loa eye worm from the subconjunctival space?

Comments 0
Views 67

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