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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 34 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 565
    Pop Quiz: Billing for New vs. Established Patients
    MAY 31, 2022 in Ask the Expert, Coding Competency, Exams
    Whether you are starting your own practice, joining a group practice, acquiring patients from another practice or opening a new office location across town, a practice transition will create situations in which it will be important to know if a patient is considered new or e…
    • Comments 0
    • Views 253
    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 1246
    Eye Visit Codes for Inpatient Setting
    APR 22, 2022 in Ask the Expert, Coding Top 10, Coding Competency, Exams
    Can the Eye Visit codes only be used in the outpatient setting and not in the inpatient setting?
    • Comments 0
    • Views 103
    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 134
    Punctal Plug Supply Billing
    APR 22, 2022 in Cornea, Coding Competency, Coding Top 10, Ask the Expert
    Are we able to bill patients directly for the lacrimal plugs due to Medicare bundling them with the plug placement procedures?
    • Comments 0
    • Views 122
    Outpatient Office Visit During Inpatient Stay
    APR 21, 2022 in Exams, Coding Top 10, Coding Competency, Ask the Expert
    We recently had a patient sent to us from our local hospital. We coded the office visit with E/M code 99204 and billed for fundus photos, CPT 92250. Both the office visit and the photos were denied by Medicare, which said the place of service is inconsistent with the procedu…
    • Comments 0
    • Views 90
    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 496
    Unified Program Integrity Contractor (UPIC) Audit
    MAR 30, 2022 in Ask the Expert, Coding Competency, Coding Top 10
    Could you advise me on how to move forward with a UPIC audit?
    • Comments 0
    • Views 101
    Interpretation and Report
    MAR 30, 2022 in Coding Competency, Ask the Expert, Coding Top 10
    Do I have to create a separate interpretation for OCT-RNFL or may I state “see OCT” in my plan?
    • Comments 0
    • Views 97
    Reimbursement for Dry Eye Test
    MAR 29, 2022 in Coding Top 10, Coding Competency, Ask the Expert
    What is the Medicare reimbursement for the dry eye test Inflammadry (83516)?
    • Comments 0
    • Views 89
    Claim denials with the diagnosis H35.413 for Lattice Degeneration of Retina, Bilateral
    MAR 15, 2022 in Coding Top 10, Ask the Expert, Retina, Coding Competency
    Claim denials with the diagnosis H35.413 for Lattice Degeneration of Retina, Bilateral
    • Comments 0
    • Views 119
    If a contact lens is stuck and the patient is unable to remove it, can you charge a foreign body removal code? Also, is an eyelash considered a foreign body?
    MAR 15, 2022 in Exams, Ask the Expert, Coding Top 10, Coding Competency
    If a contact lens is stuck and the patient is unable to remove it, can you charge a foreign body removal code? Also, is an eyelash considered a foreign body?
    • Comments 0
    • Views 126
    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 55
    Evaluation and Management Documentation for Glaucoma Suspect
    MAR 15, 2022 in Ask the Expert, Coding Top 10, Coding Competency, Testing Services, Exams
    A patient is a glaucoma suspect and has chronic dry eyes. The visual fields ordered and performed were suspicious for disease progression. The plan is for patient to follow up in 1-2 months with repeat visual field. What level evaluation and management (E/M) does the documen…
    • Comments 0
    • Views 132
    Billing Medicare for Surgery in an Ambulatory Surgery Center
    MAR 15, 2022 in Ask the Expert, Coding Top 10, Coding Competency
    If our patient is in a skilled nursing facility (SNF) I just want to confirm that we cannot bill for surgery in an ambulatory surgery center (ASC) due to consolidated billing.
    • Comments 0
    • Views 82
    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 972
    I have a physician who would like to bill for an A-scan only when treating for myopia management in children. What is the appropriate CPT code?
    MAR 02, 2022 in Coding Competency, Ask the Expert, Coding Top 10, Pediatric/Strabismus
    I have a physician who would like to bill for an A-scan only when treating for myopia management in children. What is the appropriate CPT code?
    • Comments 0
    • Views 64
    Information on billing HCPCS code V2627
    MAR 02, 2022 in Coding Top 10, Ask the Expert, Pediatric/Strabismus, Coding Competency
    I would like some information on code HCPCS code V2627. Does billing for this code includes all follow ups for the next 90 days? Can a physician bill for an office visit or is this included in the billing code as well?
    • Comments 0
    • Views 142
    Modifiers to append for payment on additional treatments
    MAR 02, 2022 in Coding Top 10, Modifiers, Coding Competency, Ask the Expert
    A physician performs CPT code 65810 Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection multiple times on different days for ocular hypertension following a surge…
    • Comments 0
    • Views 122
    1-20 of 34 results
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