• Researching codes can take time. The Academy provides easy access to the tools physicians and staff need to submit a claim successfully and save time.

    All Payers

    Two important tips:

    • The No. 1 rule in coding is identifying the payer. Whether commercial or federal, each payer can and does have its own rules.
    • The No. 2 rule is don't apply one payer’s rules, or perceived rules, to all other payers

    Clinical Laboratory Improvement Amendments (CLIA) Application for Certification

    CMS-116 application

    Correct Coding Initiative Edits

    Version 25.3 takes effect Oct. 1, 2019.

    Guidelines for Billing Medicare Beneficiaries When Using the Femtosecond Laser

    A joint position paper from the Academy and the American Society for Cataract and Refractive Surgery on using the femtosecond laser for cataract surgery

    ICD-10 Resources

    Find decision trees, quick reference guides and key features of new CCI edits effective Oct 1. at www.aao.org/icd10.

    MIGS Fact Sheets

    Whether inserting in conjunction with cataract surgery, or as a stand-alone procedure, repositioning, trimming or removing, proper coding is detailed in these documents.

    Preauthorization Check List

    Medicare Advantage Plans, Commercial insurance and Medicaid plans often require preauthorization of exams, tests and surgeries. Make sure you are capturing all the necessary components by using this checklist [PDF]

    Premium IOLs – A Legal and Ethical Guide to Billing Medicare Beneficiaries

    Check your patient out-of-pocket expense document to assure compliance. See the Oct. 2018 EyeNet Savvy Coder for details.

    NPI Locators

    National Provider Identification locators: NPI Look-up; NPI Provider Search

    Telemedicine Fact Sheet

    View the Coding for Telemedicine Fact Sheet [PDF]

    Telephone Triage for Eye Emergencies

    View the Guideline for Telephone Screening of Ophthalmic Problems [PDF]

    VF-8R Visual Functioning Questionnaire

    View the Pre-Cataract Surgery VF-8R Patient Questionnaire [PDF]

    Medicare Part B Essentials

    Advance Beneficiary Notice

    Note: Beginning June 21, 2017, practices are required to use a new ABN form. Effective date for usage is 6/21/2017; New expiration date of 3/2020.

    Related article: "How to Use the ABN, 2017 Edition".

    Items and Services Not Covered Under Medicare

    CMS document that supports your communication to the patient on non-covered exam, tests and surgeries.

    Local Coverage Determination Policies

    To help you successfully meet the requirements put forth by your Medicare Administrative Contractor, the Academy has provided the applicable local coverage determination policies for each U.S. state and some territories.

    Medicare Carrier Jurisdiction and Website Addresses

    View the medicare carrier web site addresses [PDF] updated February 2018.

    Postoperative Visit Reporting

    CMS is tracking number of postop visits actually reported on several surgical codes from a select set of practices. Visit www.aao.org/99024 for details.

    Taxonomy Codes

    Learn about subspecialty taxonomy codes and how to implement.

    Coding Modules