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  • About Our Coding Experts

    About Our Coding Experts

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

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    Email coding@aao.org

  • 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 45 results
    123
    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 71
    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 38
    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 204409
    Practice Telemedicine Protocol
    MAY 13, 2021 in Ask the Expert, E/M, Telemedicine
    An evaluation of telemedicine protocol
    • Comments 0
    • Views 115
    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 59
    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 148
    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 20
    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 69
    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 36
    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 85
    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 27
    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 65
    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 63
    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 7
    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 685
    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 257
    Share of Cost Waiver for COVID-19-Related Services
    MAY 12, 2020 in Telemedicine, Ask the Expert
    Question: Will Medicare waive the patient's requirement to pay their deductible?
    • Comments 0
    • Views 194
    SNF Flexibility During COVID-19 Emergency
    MAY 12, 2020 in Telemedicine, Ask the Expert
    Two areas have been waived by Centers for Medicare & Medicaid Services (CMS) when a patient is utilizing Skilled Nursing Facility (SNF) benefits.
    • Comments 0
    • Views 242
    1-20 of 45 results
    123
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