Coding News and Expert Advice

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1-20 of 57 results

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 72

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 39

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 59

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 155

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 97

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 26

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 64

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 47

Explantation of Presbyopic Inlay

MAY 07, 2019 in CPT, Ask the Expert, Cornea

Question: Our surgeon needs to remove the presbyopic inlay due to complications. What is the best CPT code?

Comments 0
Views 25

Drug Code for CXL

MAR 18, 2019 in Cornea, Ask the Expert

Question: Does Corneal Cross-linking (CXL) have a drug code, or are we to continue using the unlisted code?

Comments 0
Views 66

Coding Top 10: Goniotomy and Other Glaucoma Surgery Same Day, Epilation Sooner than Eight Weeks and New Diagnosis Prompting Another Injection Less than 28 Days

MAR 13, 2019 in ICD-10, CPT, Glaucoma, Coding Top 10, Oculofacial, Cataract/Anterior Segment, Cornea, Pediatric/Strabismus, Exams, Retina

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The March coding selections include: Goniotomy and Other Glaucoma Surgery Same Day, Epilation Sooner than Eight Weeks and New Diagnosis Prompting Another…

Comments 0
Views 1302

Epilation Sooner than Eight Weeks

MAR 12, 2019 in Oculofacial, Cornea, Ask the Expert

Question: We have a patient that returns frequently for epilation. He would like to come sooner than eight weeks and feels that it is medically appropriate. We did bill and received a denial due to frequency from Medicare. How do we get this paid?

Comments 0
Views 180

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 110

Excision of Eyelash

FEB 04, 2019 in CPT, Ask the Expert, Cornea

Question: Our surgeon has to excise a lash that is ingrown into the lid. Is there a CPT code that is appropriate?

Comments 0
Views 222

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 172

Billing Corneal Puncture in Office

FEB 04, 2019 in CPT, Ask the Expert, Cornea

Question: We performed CPT code 65600 Multiple punctures of anterior cornea in the office setting. Our clearinghouse says that a hospitalization date must be listed on the claim. The patient was not an inpatient at the time. Is this service not allowed in the office?

Comments 0
Views 97

Fact Sheet for Coding Corneal Collagen Cross-Linking

JAN 15, 2019 in Cornea, Coding Updates

Corneal collagen cross-linking (CXL) is a surgical technique used to stop the progression of corneal ectasia — the most common of which is keratoconus — after refractive surgery. Find out what you need to know about insurance coverage for CXL and how to code CXL correctly st…

Comments 0
Views 1197

Billing for Yag PI Prior to Corneal Transplant

DEC 03, 2018 in Cornea, CPT, Ask the Expert

Question: In the past, our surgeon would perform CPT code 66761 Yag PI at the same time as his corneal transplants but did not bill separately for them. He is now performing the Yag PI a few days prior to the corneal transplant. Is this separately billable?

Comments 0
Views 98

CPT Code for Descemetorhexis

SEP 19, 2018 in Cornea, Ask the Expert, CPT

Question: What is the CPT code for descemetorhexis?

Comments 0
Views 162

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 118

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