OCT 07, 2015
Coding Top 10: Blepharitis, Complex Cataract Surgery and High-Risk Medications
Coding Top 10, October 2015
Ask the Academy Coding Experts is a new online resource for trusted responses to your coding questions.
The Academy Coding Experts receive daily questions at coding@aao.org and icd10@aao.org. We are committed to providing accurate responses so that practices are confident in their billing and coding practices. We have provided the top 10 questions received for November.
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October's Coding Top 10 questions cover injury-claim exams, diagnosis-code basics and coding ICD-10 for diabetes.
- Submitting injury claim exams
When submitting injury claim exams do we need to report where and how the injury occurred in addition to the injury itself?
- How to code diabetes with no ophthalmic disease progression
What is the best diagnosis code to use when a patient is sent to our practice because they have diabetes, but no ophthalmic disease progression is diagnosed?
- Should you report insulin use for patients with diabetes?
Should we be reporting insulin use Z79.4 for our patients with diabetes?
- Coding exams for patients on high-risk medications
How should we code exams for patients on high-risk medications in ICD-10?
- Blepharitis exam reporting: How many lids?
Blepharitis is reported by lid, not by eye, so must I report all four lids for payment on my exam?
- ICD-10 codes for complex cataract surgery
How can I indicate to the payer that that the cataract surgery was complex?
- Modifiers and ICD-10 code laterality
Are modifiers –RT and –LT still required for CPT codes or is the laterality of ICD-10 sufficient?
- Linking ICD-10 codes for bilateral age-related nuclear cataracts
The patient is diagnosed with bilateral age-related nuclear cataracts. It’s determined that cataract surgery will be performed in the right eye and an A-scan is performed the same day. How should the ICD-10 codes should be linked?
- What diagnosis codes should be reported?
What diagnosis codes should be reported? All that apply to the patient or all that apply to today’s visit?
- Are there known billing issues with diagnosis codes H50.2 and H52.0?
My pediatric ophthalmologist heard claims will be denied because two diagnosis codes are considered mutually exclusive. I could not find any information regarding this on these two diagnosis codes--H50.2 and H52.0. Have you seen or heard of any issues when billing with these two diagnosis codes?