Coding News and Expert Advice

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1-20 of 64 results

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 821

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 50

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 117

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 113

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 1006

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 115

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 95

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 366

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 124

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 177

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 189

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 110

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 38

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 174

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 59

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 27

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 71

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 1537

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 210

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 188

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