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    About Our Coding Experts

    Our expert staff have decades of combined experience, covering all aspects of coding and reimbursement.

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  • Empower your coding team with the up-to-date answers from the Academy's coding experts. Our carefully researched responses cover federal and commercial payers and help you improve documentation, submit clean claims and appropriately maximize reimbursement. Not a AAOE member? Join today.

  • Note: Coding regulations and edits can change several times a year. All Academy coding advice is based on most current information available at the time of publication. When in doubt, visit aao.org/coding for the most recent updates. Information provided by our coding experts is copyrighted by the American Academy of Ophthalmology and intended for individual practice use only.

  • 1-20 of 103 results
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    Noridian Reports Cataract Documentation Failure Rates
    JUN 07, 2022 in Cataract/Anterior Segment, Coding Competency, Ask the Expert
    Cataract surgery continues to be one of the most common surgeries performed, and because of this, remains a top audit target for all payers.
    • Comments 0
    • Views 518
    Coding Top 10 - June 2022
    MAY 31, 2022 in CPT, Cataract/Anterior Segment, Coding Updates, Diabetes, Ask the Expert, Testing Services, Exams, Oculofacial, ICD-10, Retina, Glaucoma, Coding Top 10, Modifiers
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 569
    Coding Top 10 - May 2022
    APR 22, 2022 in ICD-10, Exams, Ask the Expert, Coding Updates, Glaucoma, Coding Competency, Retina, Coding Top 10, Modifiers, CPT, Cataract/Anterior Segment, Oculofacial
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 1207
    New Light Adjustable IOL Coding and Billing
    APR 22, 2022 in Cataract/Anterior Segment, Coding Top 10, Coding Competency, Ask the Expert
    Can you offer any insight on the most appropriate way to bill the light adjustable IOL, RxSight? Would V2787 be an appropriate code since this seems to function most like a toric lens?
    • Comments 0
    • Views 116
    Coding Top 10 - April 2022
    MAR 31, 2022 in Coding Competency, Modifiers, Coding Updates, Glaucoma, Ask the Expert, Pediatric/Strabismus, Cataract/Anterior Segment, CPT, ICD-10, Exams, Oculofacial, Retina, Coding Top 10
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 482
    92136 vs 76519
    MAR 30, 2022 in Cataract/Anterior Segment, Coding Top 10, Ask the Expert
    When we perform optical biometry, we occasionally do not get the axial length (AL) due to the cataract but can get the remaining measurements. We perform ultrasound/immersion only for the AL. Is it more appropriate to charge 92136 or 76519?
    • Comments 0
    • Views 102
    Does This Support Modifier -59?
    MAR 30, 2022 in Modifiers, Cataract/Anterior Segment, Ask the Expert, Coding Top 10
    A physician performed complex cataract surgery 66982 OS on a patient and in the same session performed a 67005 OS. The op note reads: “One strand of vitreous was seen inferior-nasally so the anterior vitrectomy instrument was used to remove it.” Does this documentation sup…
    • Comments 0
    • Views 97
    Diabetes and Cataracts
    MAR 30, 2022 in Cataract/Anterior Segment, Coding Top 10, Ask the Expert
    Several ICD-10 codes for diabetes include “with cataract”. Do they also apply to secondary cataracts? Is E11.36 appropriate to code when the physician documents that the patient has diabetes mellitus and secondary cataracts, but does not document the connection?
    • Comments 0
    • Views 82
    Complex cataract removal - what is the correct coding?
    MAR 15, 2022 in Ask the Expert, Coding Top 10, Cataract/Anterior Segment
    Complex cataract removal - what is the correct coding?
    • Comments 0
    • Views 118
    How many units should be billed?
    MAR 15, 2022 in Trauma Coding, Ask the Expert, Coding Top 10, Coding Competency, Cataract/Anterior Segment
    The treating physician gave an injection for endophthalmitis, vancomycin 1mg J3370 and ceftazidime 2 mg J0713. How many units should be billed?
    • Comments 0
    • Views 53
    Coding Top 10 - March 2022
    MAR 03, 2022 in Coding Top 10, Coding Updates, Pediatric/Strabismus, Glaucoma, Coding Competency, ICD-10, Cataract/Anterior Segment, CPT, Modifiers, Exams, Oculofacial, Ask the Expert, Retina
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 965
    Assistance with how to code 66982 and 65875
    MAR 02, 2022 in Ask the Expert, Coding Top 10, Cataract/Anterior Segment
    Could you please assist us on how to code 66982 and 65875. I see under 66982 Complex cataract surgery that 65875 Severing adhesions posterior synechiae, are bundled. Is it appropriate to append modifier –59 to unbundle?
    • Comments 0
    • Views 272
    Is there a modifier code we can use to bill cataract surgery after a superficial keratectomy has been done without waiting the standard 90-day global period?
    MAR 02, 2022 in Cornea, Ask the Expert, Modifiers, Cataract/Anterior Segment, Coding Top 10
    Is there a modifier code we can use to bill cataract surgery after a superficial keratectomy has been done without waiting the standard 90-day global period?
    • Comments 0
    • Views 74
    CPT Code and ICD-10 code for anterior capsulotomy for capsular himosis
    MAR 02, 2022 in Coding Top 10, Ask the Expert, Cataract/Anterior Segment
    We have a patient that needs an anterior capsulotomy for capsular himosis. Is the best CPT code for this 66999 Unlisted procedure, anterior segment of eye? What is an appropriate ICD-10 code?
    • Comments 0
    • Views 184
    Coding Top 10 - January 2022
    JAN 26, 2022 in Glaucoma, Coding Updates, Cataract/Anterior Segment, Ask the Expert, Exams, Retina, Coding Top 10, ICD-10
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 1347
    Submit claim for bilateral capsulotomy on Medicare Part B patient
    JAN 26, 2022 in Cataract/Anterior Segment, Ask the Expert, Coding Top 10
    Bilateral capsulotomy is performed on a Medicare Part B patient. How should the claim be submitted?
    • Comments 0
    • Views 112
    Injection code for Duxyu used during cataract surgery
    JAN 24, 2022 in Cataract/Anterior Segment, Coding Top 10, Ask the Expert
    Our surgeon will begin using Duxyu during cataract surgery. The facility will bill for the drug. Is there an injection code for the surgeon to submit?
    • Comments 0
    • Views 80
    Congratulations to OCS and OCSR Designees
    DEC 08, 2021 in Modifiers, Cornea, Pediatric/Strabismus, Cataract/Anterior Segment, Coding Updates, CPT, Exams, Glaucoma, Testing Services, ICD-10, Oculofacial, Coding Competency, Retina
    Individuals who who have passed the Ophthalmic Coding Specialist and/or Ophthalmic Coding Specialist Retina exams.
    • Comments 0
    • Views 365
    Coding Top 10 - November 2021
    NOV 04, 2021 in Glaucoma, Cataract/Anterior Segment, Ask the Expert, Coding Updates, Exams, Pediatric/Strabismus, Coding Top 10, ICD-10
    Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence.
    • Comments 0
    • Views 1345
    Billing based on exam time
    NOV 04, 2021 in Ask the Expert, Cataract/Anterior Segment, Glaucoma
    I have several patients with Parkinson's disease/diplopia. I'm trying different powers of Fresnel prisms to try to reduce their diplopia. The exams sometimes take over an hour. How can I bill these visits since the extended exam code, 99354, is no longer allowed? Can I bill…
    • Comments 0
    • Views 118
    1-20 of 103 results
    12345Next »
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