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  • 1234
    1-20 of 67 results
    Reduction in Payment for Higher Allowable Procedure
    MAR 01, 2020 in Modifiers, Glaucoma, Cataract/Anterior Segment, Coding Updates, Coding Top 10, Ask the Expert
    Question: When performing cataract surgery and goniotomy at the same session, I append modifier -51 to cataract surgery, as it has a lower allowable. However, our Medicaid plan has a higher allowable on the cataract surgery, so I append the goniotomy with modifier -51. We re…
    • Comments 0
    • Views 126
    Coding Top 10: Frequency of Retina OCT, Frequency of Billing Fundus Photography and Superglue to Eye
    MAR 01, 2020 in Testing Services, Exams, Cataract/Anterior Segment, Coding Top 10, Oculofacial, Ask the Expert, Glaucoma, Modifiers, Coding Updates
    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: Frequency of Retina OCT, Frequency of Billing Fundus Photography and Superglue to Eye
    • Comments 0
    • Views 1605
    Dextenza Billing
    DEC 18, 2019 in Cataract/Anterior Segment, Ask the Expert
    Question: How do we bill for Dextenza when used with cataract surgery?
    • Comments 0
    • Views 438
    Unbundling Goniosynechialysis with Cataract Surgery
    DEC 11, 2019 in Glaucoma, Cataract/Anterior Segment, Ask the Expert
    Question: Is it appropriate to unbundle CPT code 65865 Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae, with cataract surgery?
    • Comments 0
    • Views 633
    Billing AC Tap in Post-operative Period
    NOV 06, 2019 in Glaucoma, Cataract/Anterior Segment, Ask the Expert
    Question: Are anterior chamber taps, billable in the post-operative period?
    • Comments 0
    • Views 149
    Billing Cataract Surgery in Conjunction With iStent Inject
    NOV 06, 2019 in Cataract/Anterior Segment, Ask the Expert, Glaucoma
    Question: When our surgeon performs cataract surgery plus iStent inject on a Medicare Part B patient, how should the surgeon and the facility submit the claim?
    • Comments 0
    • Views 922
    IOL Master Performed After Ascan Billed
    JUL 31, 2019 in CPT, Testing Services, Ask the Expert, Cataract/Anterior Segment
    Question: We performed CPT code 76519 A-scan bilaterally on our patient and billed the first eye. The surgeon is now requesting CPT code 92136 IOL Master for the second eye. Can we bill this?
    • Comments 0
    • Views 400
    Usage of miLoop in Cataract Surgery
    JUL 30, 2019 in CPT, Ask the Expert, Cataract/Anterior Segment
    Question: Does use of miLoop qualify cataract surgery as complex?
    • Comments 0
    • Views 1007
    Unrelated Exam Same Day as Planned Surgery
    JUL 30, 2019 in Ask the Expert, Cataract/Anterior Segment, Modifiers, Exams
    Question: Our patient, who was scheduled to come today for a YAG Capsulotomy in the right eye, came in with a complaint of blurriness and flashes in the left eye. We did an exam of the left eye and performed the YAG in the right eye. How should we submit?
    • Comments 0
    • Views 189
    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 445
    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 179
    Referring Patient to Partner During Global Period
    JUL 08, 2019 in Ask the Expert, Retina, 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 259
    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 209
    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 556
    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 1122
    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 615
    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 489
    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 1912
    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 393
    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 407
    1234
    1-20 of 67 results
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