Subspecialty ICD-10 Decision Trees and Quick Reference Guides
AAOE physician decision trees and quick-reference guides are a great educational tool for physicians and staff.
Decision Trees
These decision trees were reviewed for currency on Oct. 1 2023.
Quick Reference Guides
These guides are effective as of Oct. 1, 2023.
Further Resources
- Visit the Academy Store for the lastest coding and reimbursement products including the ICD-10-CM For Ophthalmology: The Complete Reference.
- Codequest™ - Join the most knowledgeable coding experts in ophthalmology for a half-day of professional education and training. We’ll steer you through regulatory road blocks and the complex maze of federal and commercial payers’ rules, arriving at coding solutions you can use to appropriately maximize all your reimbursements.
Updates
On Oct. 1, 2023, approximately 60 new and revised codes for ophthalmologists were updated in
ICD-10-CM For Ophthalmology: The Complete Reference. The updates include:
- Chronic migraine with aura
- Nonproliferative sickle-cell retinopathy
- Muscle entrapment
- Foreign body sensation
- Additional Social Determinants of Health
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, 2023, you must use the updated ICD-10 codes. If you do not, CMS might reject all claims. Always confirm with your MAC for updated local coverage determination policies (LCDs). No ICD-10 changes impact National Coverage Determination policies (NCDs).
- 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 currently do not affect MIPS reporting.