• Coding Updates and Resources

  • Upper Lid Procedure Policies by State

    When performing upper lid procedures, make sure your preoperative documentation meets the specific requirements outlined by your Medicare Administrative Contractor (MAC). To assist in meeting the requirements, the Academy has provided the correct coding guidelines applicable for each state.

    Retina Testing Service Policies

    Retina practices may perform multiple tests based on the patient’s diagnosis. Be sure your testing documentation meets the specific requirements outlined by your Medicare Administrative Contractor.

    Glaucoma Testing Service Policies

    When performing testing services on patients with or suspected of glaucoma, be sure your documentation meets the specific requirements outlined by your Medicare Administrative Contractor.

    Advance Beneficiary Notice

    Whether English or Spanish, make sure you are using the current version. It has the date 3/11 in the lower left hand corner. This form should be used through 6/20/2017.  Note: Beginning June 21, practices are required to use a new ABN form. Effective date for usage is 6/21/2017; New expiration date of 3/2020.

    Correct Coding Initiative Edits

    Version 23.1 effective April. 1, 2017.

    Local Coverage Determination Database

    Payment policies for all Medicare Part B payers.

    NPI Locators

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

    Medicare Carrier Jurisdiction and Website Addresses

    View the Medicare Carrier Website Addresses (pdf 118k) updated Aug. 16, 2015

    VF-8R Visual Functioning Questionnaire

    View the Pre-Cataract Surgery VF-8R Patient Questionaire (pdf 86k)

    Complete Guide to Coding Module (2011)

    Download The Successful Ophthalmic ASC - Complete Guide to Coding Module (pdf 317k) available now as a free member benefit (login required).

    Neuro-Ophthalmology Coding Module (2011)

    Download the 2011 Ophthalmic Coding Series — Neuro-Ophthalmology Coding Module (pdf 821k) available now as a free member benefit (login required).

    Vision Rehabilitation Coding Module (2012)

    Download 2012 Ophthalmic Coding Series — Vision Rehabilitation Coding Module (pdf 1.7 Mb) available now as a free member benefit (login required).