FEB 23, 2017
Coding Top 10: Billing Bilateral Fluorescein Angiographies, ASC Claim Submission for Family Member
Coding Top 10, Febuary 2017
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February's coding top 10 topics include how to bill bilateral fluorescein angiographies and ASC claim submission for family member.
- Allowable for Patients 65 Years Old and Older
For patients over 65 without traditional Medicare, must their payer’s fee schedule follow Medicare?
- ASC Claim Submission for Family Member
Our surgeon performed a procedure on his mother-in-law. While he cannot be reimbursed, can the ASC?
- Correct Modifiers for Bilateral Billing
What is the appropriate way to bill a bilateral injection and drug?
- Facility Reimbursement for Premium Lenses
Is the facility fee for premium lenses restricted in what they can ask the patient to pay out of pocket?
- How to Bill Incomplete YAG Capsulotomy
Our physician performed a YAG capsulotomy, CPT code 66821. However, he determined it was an incomplete procedure and needs to bring the patient back. The operative report indicated that, due to makeup on the eyelashes, the view was unclear and an attempt to repeat was not possible. Can we submit this with modifier -53?
- Billing for Procedures Performed Two Days in a Row
I performed a new-patient exam, level 99204, along with a probe and irrigation, CPT code 68810, due to an eyelid laceration involving the tear duct. The following day, I repaired the laceration with an adjacent tissue transfer and a canthoplasty, CPT codes 14060 and 67950. What modifiers do I use for both dates of service?
- CPT Code for Laser Due to Vitreous Opacities
Our surgeon performed a YAG laser procedure in office due to vitreous opacities, however the patient has never had a cataract surgery. What procedure code do we use?
- Correct ICD-10 Code when Injecting One Eye
We have a patient with bilateral wet AMD with active choroidal neovascularization. However, on a recent visit we only injected the left eye. Do we append the bilateral diagnosis to the injection?
- Billing Bilateral Fluorescein Angiographies
How do I submit a bilateral fluorescein angiography with pathology in both eyes? Should it be as a single line item with modifier -50 or two lines with -RT and -LT?
- Testing Pattern Deviation
According to CPT, there is a new code, 92242 FA with ICG, effective January 2017. Is it appropriate to perform an ICG today and have the patient return in two weeks for the FA? .