Coding News and Expert Advice

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1-20 of 455 results

SEP 10, 2019 in Ask the Expert, ICD-10

Question: We are trying to determine the best ICD-10 code for scurf and mild sleeving on the lids.

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Views 85

SEP 10, 2019 in CPT, Ask the Expert, Exams, Modifiers, Cataract/Anterior Segment

Question: Our physician saw an established patient complaining of red and itchy eyes. The Diagnosis is allergic conjunctivitis, and abrasion was found that required debridement. Can we bill the exam and the procedure?

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Views 142

Intrastromal Injection CPT Code

SEP 10, 2019 in Ask the Expert, Cornea, CPT

Question: Our doctor performed an intrastromal corneal injection. Would CPT code 66030 Injection, anterior chamber of eye (separate procedure) medication be appropriate?

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Views 45

CPT Code for Silicone Oil Bubbles in Conjunctiva

SEP 10, 2019 in Ask the Expert, Retina, Cataract/Anterior Segment

Question: Our surgeon removed retained silicone oil bubbles within the conjunctiva. Is the appropriate CPT code 65210 Removal of foreign body, external eye; conjunctival embedded?

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Views 32

Suture Removal Under Anesthesia

SEP 10, 2019 in Cornea, Pediatric/Strabismus, Ask the Expert

Question: During the post-operative period of a corneal laceration repair, our surgeon performed an exam under anesthesia because of the patient’s due to poor vision, as well as, removed sutures. Is it appropriate to bill 92019 EUA, limited and 15850 Removal of sutures under…

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Views 42

Diagnosis for Peripapillary Atrophy

SEP 10, 2019 in Ask the Expert, ICD-10, Retina

Question: Our physician is performing fundus photography for peripapillary atrophy, and the only diagnosis we can find is H31.20 Hereditary choroidal dystrophy, unspecified, which is not accepted by our payer. Is there another diagnosis we should try?

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Views 53

Eye Visit Code Application

SEP 10, 2019 in Exams, Ask the Expert

Question: Our physician heard that ophthalmologists can no longer bill eye visit codes. Is this true?

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Views 101

After Hours Exam

SEP 10, 2019 in Ask the Expert, Exams

Question: Our physicians are seeing more patients after hours, due to patient emergencies, such as foreign bodies. Are we able to charge the payer or patient additional dollars for this service?

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Views 72

Return Exams for Corneal Rehab Prior to Surgery

SEP 10, 2019 in Cornea, Ask the Expert, Exams

Question: Patients return for multiple corneal rehabilitation therapies due to contact lens wear with our optometrist once cataract surgery has been determined medically necessary by one of the surgeons in the practice. Are these exams billable?

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Views 32

Surgery Requiring General Anesthesia

SEP 10, 2019 in Cornea, Ask the Expert, Modifiers

Question: The surgeon performed CPT code 65222 -RT Removal of foreign body, external eye; corneal, with slit lamp under general anesthesia for a pediatric patient. Is there an additional modifier to append?

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Views 38

Coding Top 10: Eye Visit Code Application, Surgery Requiring General Anesthesia and Instratromal Injection CPT Code

SEP 10, 2019 in Exams, Pediatric/Strabismus, CPT, ICD-10, Cornea, Coding Top 10, Retina, Cataract/Anterior Segment, Modifiers, Ask the Expert

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The September coding selections include: Eye Visit Code Application, Surgery Requiring General Anesthesia and Instratromal Injection CPT Code

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Views 385

Coding Top 10: Usage of miLoop in Cataract Surgery, CPT Code for Swabbing Cornea and Complex Retina Repair without Membrane Peel

AUG 01, 2019 in Retina, Oculofacial, Exams, Ask the Expert, Cornea, Coding Top 10, Modifiers, Testing Services, Cataract/Anterior Segment, CPT

Get trusted answers to your coding questions from the Academy’s coding experts, so you can bill and code with confidence. The August coding selections include: Usage of miLoop in Cataract Surgery, CPT Code for Swabbing Cornea and Complex Retina Repair without Membrane Peel

Comments 0
Views 986

Modifiers on Drug Codes

JUL 31, 2019 in Ask the Expert, Retina

Question: We hired a new billing manager who insists that eye modifiers should be included on the drug codes for intravitreal injections. We’ve never received rejections before. Is this correct billing?

Comments 0
Views 286

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?

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Views 198

Did she keep Oxervate question? If yes, then make title Oxervate Training

JUL 31, 2019 in Exams, Cornea, Ask the Expert

Question: When prescribed Oxervate for neurotrophic keratitis, the patient is required to return for training and care of vials. Can we bill insurance for the training, which is performed by the technician, if we have an order?

Comments 0
Views 63

Units for CPT code 67882

JUL 31, 2019 in Ask the Expert, CPT, Oculofacial

Question: Our surgeon performed CPT code 67882 Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate on a patient’s right eye. However, this was performed both on medial and lateral eyelid. Is there another CPT cod…

Comments 0
Views 93

Bilateral Punctal Plug Denial

JUL 31, 2019 in CPT, Cornea, Modifiers, Ask the Expert

Question: I performed bilateral punctal plugs and submitted to Novitas Medicare CPT code 68761 with modifier -50 and 1 unit. I received a denial due to incorrect modifier. Is there another modifier that should be used?

Comments 0
Views 172

Billing Demodex

JUL 31, 2019 in Ask the Expert, Exams, Testing Services

Question: We recently acquired a microscope so I could look for a parasite (demodex) in patients’ lashes. Is this billable as a culture?

Comments 0
Views 68

Complex Retina Repair without Membrane Peel

JUL 30, 2019 in Ask the Expert, Retina

Question: Our surgeon performed a complex retinal detachment repair for a patient with proliferative vitreoretinopathy. The surgery included removal and replacement of silicone oil, scleral buckle, IOL repositioning and a laser. However, no membrane peel took place. Can we s…

Comments 0
Views 125

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 116

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