Ophthalmology and Optometry Coding Alert

Procedure Focus:
Sharpen Your Retina Injectable Rx Coding Skills
Follow these steps to ensure proper payment for drug injections. Although many of your t... Read more
Modifiers:
Be Wise in the Ways of Billing Wastage With -JW and -JZ
Also: Use this clinical example to help you calculate drug waste. Even the most experie... Read more
News You Can Use:
Review New Rules for Reporting Multiple Unlisted Procedures
Also, make note of the modifiers you can now use with unlisted codes. If your provider h... Read more
You Be the Coder:
Verify Vial Type To Ensure Correct Coding of Injectable Drugs
Question: Can you explain how to bill for triamcinolone acetonide when given as a bil... Read more
Reader Questions:
Phone-In This E/M Encounter
Question: A patient presented to the office for a follow-up appointment. When the pat... Read more
Reader Questions:
Learn the Importance of SDOH
Question: I know there's a huge push to document social determinants of health (SDOH... Read more
Condition Spotlight:
Learn Which Details Lend To Correct Coding of Hypotony Cases
Cause of condition may ease your code selection woes. Ophthalmologists are no strangers ... Read more
E/M Coding:
Gain Clarity Amidst MDM Coding Confusion
Hint: Getting the definitions down pat is half the battle. Although the medical decisio... Read more
Compliance:
Discover 4 Ways To Overcome Telehealth Compliance Obstacles
Contracted vendors are also obligated to adhere to HIPAA rules. Telehealth services have... Read more
Reader Questions:
Find Out How Isopters Factor Into VF Exam Code Choice
Question: We tend to use 92082 to avoid overcoding. When a patient undergoes visual f... Read more
Reader Questions:
See Who Did the Glaucoma Screening for Suitable Code Selection
Question: When a patient is screened for glaucoma, what codes should we report for t... Read more
Reader Questions:
Here’s How To Handle Notes With Vague Language
Question: Our providers are notorious for using “consistent with” and “likely... Read more
You Be the Coder:
Pinpoint Proper Reporting for These Ophthalmological Services
Question: A patient returns for follow-up. The provider notes improvement in the meib... Read more
Case Study Corner:
Get Answers to These Eye Injury Encounter Questions
See these NCCI code bundles clearly. If you're feeling hesitant about filing claims for p... Read more
Procedure Focus:
Keep Your MIGS Coding Know-How Current
Pay close attention to op note details to ensure your reporting is complete. Glaucoma is... Read more
E/M Coding:
Use These Pro Tips To Attain Telehealth Reporting Perfection
Bonus: Use this clip-and-save chart to answer future questions. There's no denying that ... Read more
Reader Questions:
Understand When You Can Bill for FS Laser Use
Question: Can you explain when it is, and is not, appropriate to charge for the use o... Read more
Reader Questions:
Make Sure All Who Work With PHI Get HIPAA Training
Question: Our practice occasionally uses temporary workers. Is it necessary to have n... Read more
Reader Questions:
Let Opacity Location Drive Secondary Cataract Sx Code Choice
Question: When a patient has a secondary membranous cataract following surgery and un... Read more
You Be the Coder:
Consider This Cat III Code for Xen Stent Insertion
Question: We've noticed an uptick in our surgeons' use of the Xen stent for aqueous ... Read more
Mythbuster:
Shatter These 4 Myths, Strengthen Signs and Symptoms Smarts
Get the 411 on what to code – and what to leave off – your claims. Choosing the ICD-1... Read more
Modifier Madness:
Minimize Laterality Modifier Snafus in 5 Simple Steps
Remember to review the fine print, as payer policies may differ. Even though every coder ... Read more
Compliance:
Brush Up on Medical Necessity Basics To Boost Claim Success
Also, get expert advice on establishing a risk assessment. There probably isn't an eye c... Read more
You Be the Coder:
Pick the Right Modifiers To Properly Report This Case
Question: A 27-year-old patient presented to the clinic stating that when he was mowing th... Read more
Reader Questions:
Don’t Be Caught Cloning Clinic Notes
Question: Our office has a medical scribe, and I have noticed that they sometimes ad... Read more
Reader Questions:
Check These Details Before Adding Modifiers to VF Claims
Question: We have a clinic with two offices in two different states, but only one of ... Read more
Reader Questions:
Choose the Correct Level for This Hospital Consult
Question: I'm trying to code a hospital consult and am struggling with the medical de... Read more
Medicare Physician Fee Schedule:
Turn Your Attention to These 2024 Final Rule Highlights
Steady reimbursement decline is a recipe for financial instability, AMA warns. Practices ... Read more
ICD-10 Coding Quiz:
Can You Code These Common Ocular Diagnoses Correctly?
See if you can spot the best-suited codes for these scenarios. Although coding for ophtha... Read more
Back to Basics:
Perfect Your Procedural Coding With These Pro Tips
Remember to exercise caution when using a modifier to break an NCCI edit. Chances are yo... Read more
You Be the Coder:
Search for These Surgery Specifics When Coding IOL Exchange
Question: When our retina surgeon performs a lensectomy with insertion of an intraocu... Read more
Reader Question:
Examine Which Codes Are Modifier 50 Eligible
Question: How do I determine whether an eye care service can be reported bilaterally?... Read more
Reader Question:
Understand Proper Use of Modifiers X{EPSU}
Question: Can you explain when I should and shouldn't append the X{EPSU} modifiers? ... Read more
Reader Question:
Be Familiar With NCCI-Associated Modifiers
Question: What modifiers are allowed with the National Correct Coding Initiative (NCC... Read more
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