Coding News and Expert Advice

Coding News and Expert Advice
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 47 results
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Coding Top 10 - August 2022

AUG 16, 2022 in Coding Top 10, ICD-10, Modifiers, Cataract/Anterior Segment, CPT, Retina, Pediatric/Strabismus, Telemedicine, Cornea, Testing Services, Trauma Coding, Exams, Coding Competency, Ask the Expert, 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 762

Telehealth Billing

AUG 12, 2022 in Exams, Telemedicine, Ask the Expert

Over the weekend, an established patient contacted the ophthalmologist about an issue the patient was experiencing. The physician attempted to set up a telehealth conference since the patient couldn’t meet at the doctor’s office. However, the patient did not have access to v…

Comments 0

Views 57

During the pandemic, when patients had to be seen virtually, we were able to bill a video/telehealth appointment. Are we able to continue billing for telehealth visits?

MAR 15, 2022 in Exams, Modifiers, Telemedicine, Ask the Expert, Coding Top 10

During the pandemic, when patients had to be seen virtually, we were able to bill a video/telehealth appointment. Are we able to continue billing for telehealth visits?

Comments 0

Views 90

What is proper coding for implementing diabetes teleretinopathy screening program?

MAR 15, 2022 in Telemedicine, Ask the Expert, Testing Services, Coding Top 10, Glaucoma

What is proper coding for implementing diabetes teleretinopathy screening program?

Comments 0

Views 53

Coding for Telemedicine

FEB 10, 2022 in Coding Updates, Regulatory News, Telemedicine

New coding guidelines effective January 1, 2022 for coding for telemedicine.

Comments 0

Views 208164

Practice Telemedicine Protocol

MAY 13, 2021 in Ask the Expert, E/M, Telemedicine

An evaluation of telemedicine protocol

Comments 0

Views 126

Billing Telemedicine Emergency Exam and Follow-up

MAR 05, 2021 in CPT, Telemedicine, Ask the Expert, Exams

Q: Are we able to submit a telemedicine exam for a medical emergency on the weekend and then have the patient come into the office the following Tuesday and submit an office exam?

Comments 0

Views 60

New Patient Billing During Public Health Emergency

AUG 14, 2020 in Ask the Expert, Telemedicine

During our office closure for COVID-19, a former patient of ours had multiple conversations with our on-call physician, none of which were submitted to insurance. She is now coming in for an exam. Because we have not billed an exam in over four years, is she considered new o…

Comments 0

Views 76

Staff Billing 99211

JUN 03, 2020 in Telemedicine, Ask the Expert

Question: Can an administrator bill 99211 under physician supervision or must it be a technician?

Comments 0

Views 169

Storing Images During Telemedicince Visits

JUN 03, 2020 in Ask the Expert, Telemedicine

Question: Are we required to print out photos received from the patient when billing G2010?

Comments 0

Views 21

Payers Accepting Time-based Billing

JUN 03, 2020 in Telemedicine, Ask the Expert

Question: Is the E/M code level selection based on time as described for Medicare also applicable to commercial insurance visits?

Comments 0

Views 72

Telehealth Video Requirements

JUN 03, 2020 in Ask the Expert, Telemedicine

Question: I’ve heard from someone outside of our practice, that CMS relaxed the video requirement on all E/M codes. Without confirmation from the Academy, we are not comfortable with that. Are we correct?

Comments 0

Views 42

In-office Testing Prior to Virtual Exam

JUN 03, 2020 in Telemedicine, Ask the Expert

Question: Can an established patient come to the office for testing by our ophthalmic technician and then have a telehealth virtual face-to-face visit with the physician within seven days?

Comments 0

Views 88

Rebilling Telehealth Codes

JUN 03, 2020 in Telemedicine, Ask the Expert

Question: I submitted G2012 as Medicare had a low reimbursement for the telephone exams, however now that they’ve increased rates, should we submit a corrected claim?

Comments 0

Views 28

Telehealth Time Requirements With Eye Visit Codes

JUN 03, 2020 in Ask the Expert, Telemedicine

Question: What are the time requirements to use telemedicine by phone for the eye visit codes 92002-92014?

Comments 0

Views 81

Billing an E/M Code with G2010

JUN 03, 2020 in Ask the Expert, Telemedicine

Question: Can you bill an E/M code (via audio/video) and G2010 or would that be double dipping?

Comments 0

Views 90

Start Date for New Patient Phone Exams

JUN 03, 2020 in Ask the Expert, Telemedicine

Question: What is the effective date for billing phone visits with new patients?

Comments 0

Views 16

Telehealth Billing Without Access to Patient Chart

JUN 03, 2020 in Ask the Expert, Telemedicine

Question: I have a doctor who performed an exam via video conference, however she was unable to access our EHR or the patients record. Since we are including the progress note in the chart, are we able to submit for the service?

Comments 0

Views 8

Coding Top 10:Telehealth Time Requirements with Eye Visit Codes, Re-billing Telehealth Codes, Staff Billing 99211

JUN 03, 2020 in Telemedicine, Ask the Expert, Coding Updates, Coding Top 10

Get trusted answers to your coding questions from the Academy's coding experts, so you can bill and code with confidence. This month's coding questions focus on telemedicine pertaining to the public health emergency.

Comments 0

Views 690

TPE and RAC Audits Put on Pause

MAY 12, 2020 in Telemedicine, Ask the Expert

Question: During the current public health emergency, what is the status of the audits by the Centers of Medicare & Medicaid Services (CMS)?

Comments 0

Views 264

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