Coding News and Expert Advice

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1-20 of 66 results

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 April coding selections include: Patient Balance with Medicare as Secondary Payer, Lysis of Adhesions Along with Cataract Surgery and OTC Drug Order…

Comments 0
Views 82

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 36

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 35

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 74

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 136

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 1247

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 239

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 153

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 108

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 179

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 1206

CPT Code to Rotate Premium Lens

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

Question: What CPT code would be used to rotate a toric IOL?

Comments 0
Views 309

Usage of MiLopp in Cataract Surgery

AUG 21, 2018 in CPT, Ask the Expert, Cataract/Anterior Segment

Question: Does MiLoop make cataract surgery complex?

Comments 0
Views 208

Frequency for Epilation

AUG 21, 2018 in Ask the Expert, Cataract/Anterior Segment, CPT

Question: We are billing CPT code 67820 Correction of trichiasis; epilation, by forceps only every eight weeks. However, Medicare is now denying due to overutilization. Is there another code we should be using?

Comments 0
Views 624

Billing for ReSure Sealant

JUL 24, 2018 in Ask the Expert, Cataract/Anterior Segment

Question: Can we bill for ReSure Sealant if needed after cataract surgery?

Comments 0
Views 63

IOL Exchange for Unhappy Patient

JUL 24, 2018 in Ask the Expert, Cataract/Anterior Segment

Question: The patient had cataract surgery, and everything turned out perfectly. Unfortunately, the patient is not happy and now wants uncorrected near vision, not remembering all the discussion preoperatively that took place regarding our targeted PO refractive endpoint. Do…

Comments 0
Views 804

Comanagement in Another State

JUN 12, 2018 in Cataract/Anterior Segment, Ask the Expert, Modifiers, CPT

Can comanagement occur across state lines when there are different Medicare Administrative Contractors?

Comments 0
Views 49

Billing for YAG Laser In-Office

APR 24, 2018 in CPT, Glaucoma, Ask the Expert, Retina, Cataract/Anterior Segment, Cornea

We’re going to bring YAG lasers in-office. Is there an additional code we submit to payers?

Comments 0
Views 326

How to Code IOL Removal, New Implant

APR 24, 2018 in Ask the Expert, Cataract/Anterior Segment, ICD-10

Our surgeon removed a dislocated IOL that another surgeon implanted. Then he implanted a new lens. He suggested we bill: 65265 -RT Foreign body removal, nonmagnetic; 67036 -RT Pars plana vitrectomy; and 66985 -RT Secondary IOL implant. Is this submission correct?

Comments 0
Views 307

Non-Covered Diagnosis for AMT Placement

MAR 22, 2018 in CPT, Cataract/Anterior Segment, Ask the Expert, Cornea

The patient’s insurance plan does not cover the reason the patient needs CPT code 65778 Amnionic membrane transplant. Would insurance still cover the treatment if we believe it is medically necessary?

Comments 0
Views 137

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