In Billing
Jul 25th, 2019
Effective Oct. 1, 2019, ophthalmology coders will be able to report orbital roof and wall fractures with the utmost of specificity thanks to the creation of several new ICD-10-CM codes. Lack of Specificity Presents a Problem Presently, there is only one diagnosis code, S02.3- Fracture of orbital floor, to report orbital bone fractures, and only ...
Overlooking 2017 CPT® changes will keep your procedural reporting in the dark ages. Correct diagnostic ophthalmology coding is important to patients, the coders and billers who process the claims, and the physicians who document the medical records. Review these important guidelines to ensure you understand common diagnostic tests performed by this specialty. Fluorescein and Indocyanine ...
In Audit
May 1st, 2014
Use the latest OIG work plan to amp up your compliance plan and audit efforts. By Michael D. Miscoe, JD, CPC, CASCC, CUC, CCPC, CPCO The U.S. Department of Health & Human Services Office of Inspector General (OIG) has released its annual work plan, outlining the new and ongoing hot spots for healthcare fraud and abuse ...
In Billing
Jun 26th, 2013
by Nancy Clark, CPC, CPC-I Effective January 2013, reduced payment has been made for specific ophthalmologic diagnostic codes. These codes are identified in the Medicare Physician Fee Schedule with the new Multiple Procedure value of “7.” Diagnostic ophthalmology services subject to MPPR include (code listed with short descriptor): 76510 Ophth us b & quant a ...
In Coding
Nov 2nd, 2012
by Nancy Clark, CPC, CPMA, CPC-I Understanding the difference between routine and medical eye examinations will guide you to properly code these services and prevent your patient from receiving an unexpected bill. Coding eye examinations is different than coding physical examinations, which have separate CPT® codes for routine and medical visits. CPT® codes 92002-92014 indicate ...