Coding News and Expert Advice

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1-20 of 75 results

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 494

Referring Patient to Partner During Global Period

JUL 08, 2019 in Ask the Expert, Retina, Testing Services, Exams, Modifiers, Cataract/Anterior Segment

Question: Our patient is in the global period for cataract surgery, and it’s been determined she has cystoid macular edema (CME). We referred her to a retina specialist n our practice. Is the exam billable with modifier -24?

Comments 0
Views 98

Billing Exams in the Global Period

JUL 08, 2019 in Modifiers, Cataract/Anterior Segment, Exams, Ask the Expert

Question: A patient 60 days into the global period for cataract surgery has been diagnosed with a post-vitreous detachment (PVD), which may or may not be related. The physician feels this should be billable. Should we append modifier -24?

Comments 0
Views 139

Surgeon Treating Patient in Co-management

JUL 08, 2019 in Exams, Cataract/Anterior Segment, Ask the Expert

Question: A patient is being co-managed for cataract surgery and has now returned to the surgeon for a related complaint. Is the surgeon able to bill for the exam?

Comments 0
Views 64

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 313

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 109

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 162

Surgery Without Office Exam

JUN 10, 2019 in Ask the Expert, Exams, Cataract/Anterior Segment

Question: One of our surgeons is injured and unable to perform cataract surgery. Is another surgeon of the practice able to perform surgery without seeing the patient in the office?

Comments 0
Views 134

EUA During Cataract Surgery

JUN 10, 2019 in Cataract/Anterior Segment, Ask the Expert, Exams

Question: Our surgeon performed cataract surgery on a Down syndrome patient. During the surgery he performed an exam under anesthesia (EUA) due to the patients cognitive and emotional limitations. Previously, we have billed CPT code 92499 to bill the exam under anesthesia.…

Comments 0
Views 72

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 167

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 54

Manual Break of Posterior Synechiolysis

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

Question: Our physician manually broke a posterior synechiolysis between iris and lens. Is there an existing CPT code that is best, or would we use an unlisted code?

Comments 0
Views 67

Lysis of Adhesions Along with Cataract Surgery

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

Question: Am I able to submit for lysis of adhesions separately from cataract surgery, or would this qualify for CPT code 66982 Complex cataract surgery?

Comments 0
Views 119

CPT Code YAG Laser for IOL Deposit

MAR 18, 2019 in Cataract/Anterior Segment, Ask the Expert, CPT

Question: A patient presented with deposits and pigment on the anterior surface of an IOL. The surgeon used a YAG laser. What is the appropriate CPT code to submit?

Comments 0
Views 162

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 1374

Billing for Post-Cataract Glasses

MAR 12, 2019 in Ask the Expert, Cataract/Anterior Segment, Exams

Question: There is a discrepancy between our office and a referring office as to how Medicare handles a change in glasses post cataract extraction. Is the patient obligated to have both eyes operated on before Medicare will allow for bilateral lenses?

Comments 0
Views 468

Guidelines for ADL Forms

FEB 04, 2019 in Ask the Expert, Cataract/Anterior Segment

Question: For coding purposes, what are the guidelines on the questions we must ask for activities of daily living prior to cataract surgery?

Comments 0
Views 184

Filling Out Claim Form When Comanaging

NOV 28, 2018 in CPT, Cataract/Anterior Segment, Ask the Expert

Question. Our surgeon is performing cataract surgery on a Medicare Part B patient that will be comanaged. We are monitoring the patient for the first seven days. How do we correctly submit the claim?

Comments 0
Views 116

CPT Code for Lasering Posterior Synechiae

SEP 19, 2018 in Ask the Expert, Cataract/Anterior Segment, CPT

Question: What is the appropriate CPT code for severing of adhesions from the posterior segment of the right eye?

Comments 0
Views 288

Global Period of a YAG

SEP 19, 2018 in Retina, Ask the Expert, Glaucoma, Cataract/Anterior Segment, CPT

Question: What is the global period for a YAG?

Comments 0
Views 1603

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