• Background

    On Oct. 1, 2018, physician practices must adopt new ICD-10 codes — over 120 new codes for ophthalmologists alone. The updates change impact:

    • Lagophthalmos, blepharitis and meibomian gland dysfunction
    • Benign and malignant neoplasms
    • Epiphora

    The Academy helped you transition to ICD-10 successfully. We’ll lead you to equal success in adopting these updated diagnosis codes.

    What You Need to Know

    • Medicare: For all claims with dates of service on or after Oct. 1, 2018, you must use the updated ICD-10 codes. If you do not, CMS might reject all claims.
    • Commercial payers: Some may take longer to update codes. This could result in claims denials and payment delays of a month or more.
    • Merit-Based Incentive Payment System: The new ICD-10 codes affect MIPS reporting for quality measures 137 and 138.