Ophthalmology and Optometry Coding Alert
Optimize Reimbursement:
Differentiate Between Entropion/Ectropion Repair and Blepharoplasty
Ophthalmologists cannot get reimbursed by Medicare when they perform blepharoplasty on the... Read more
Differentiate Between Entropion/Ectropion Repair and Blepharoplasty
Ophthalmologists cannot get reimbursed by Medicare when they perform blepharoplasty on the... Read more
Get Paid for Injection and Aspiration at Same Visit
When a patient has purulent endophthalmitis (360.00) and needs an injection of an antibio... Read more
When a patient has purulent endophthalmitis (360.00) and needs an injection of an antibio... Read more
Follow Up:
New Complex Cataract Surgery Code Will Yield Higher Fee
The AMA has issued a new code for complicated cataract surgery for CPT 2001 66982 (extra... Read more
New Complex Cataract Surgery Code Will Yield Higher Fee
The AMA has issued a new code for complicated cataract surgery for CPT 2001 66982 (extra... Read more
Avoid Denials:
Optimal Coding for Contact Lens for Medical Conditions
When prescribing a contact lens to treat keratoconus (371.60-371.62), sometimes ophthalmo... Read more
Optimal Coding for Contact Lens for Medical Conditions
When prescribing a contact lens to treat keratoconus (371.60-371.62), sometimes ophthalmo... Read more
Correction:
Contact Lens for Keratoconus
In the November issue of Ophthalmology Coding Alert, in response to a question about how t... Read more
Contact Lens for Keratoconus
In the November issue of Ophthalmology Coding Alert, in response to a question about how t... Read more
New Modifier -60 Will Increase Payment
A new modifier in CPT 2001 will increase reimbursement for ophthalmologists. The descripti... Read more
A new modifier in CPT 2001 will increase reimbursement for ophthalmologists. The descripti... Read more
Reader Question:
Refractive Error
Question: A Medicare-only patient with diabetes came in for his annual exam. There was no ... Read more
Refractive Error
Question: A Medicare-only patient with diabetes came in for his annual exam. There was no ... Read more
Reader Question:
Aqueous Shunt Implant
Question: How should we bill for an aqueous shunt implant? We performed a non-penetrating ... Read more
Aqueous Shunt Implant
Question: How should we bill for an aqueous shunt implant? We performed a non-penetrating ... Read more
Reader Question:
Removal of Silicone Oil
Question: I have always used 67015 for removal of silicone oil. How does it compare to 67... Read more
Removal of Silicone Oil
Question: I have always used 67015 for removal of silicone oil. How does it compare to 67... Read more
You Be the Coder:
Trabeculectomy Ab Externo
Question: How should we code a trabeculectomy ab externo (66172) with a graft (67255)? Is... Read more
Trabeculectomy Ab Externo
Question: How should we code a trabeculectomy ab externo (66172) with a graft (67255)? Is... Read more
Get Reimbursed for the Removal of Lens Fragments
After cataract surgery, patients may notice floaters or spots in their vision that they ha... Read more
After cataract surgery, patients may notice floaters or spots in their vision that they ha... Read more
Watch ICD-9 Codes When Coding Multiple Visits
ICD-9 codes can make or break the acceptance of a claim. Coding a patient visit for the so... Read more
ICD-9 codes can make or break the acceptance of a claim. Coding a patient visit for the so... Read more
Code Punctum Snip/Biopsy Visits For Maximum Return
A patient came in for a punctum snip incision 68440* (snip incision of lacrimal punctum) ... Read more
A patient came in for a punctum snip incision 68440* (snip incision of lacrimal punctum) ... Read more
Lash Epilation Clarified:
Watch Your Local Policies
The importance of local policies when it comes to Medicare cant be stressed enough. Withou... Read more
Watch Your Local Policies
The importance of local policies when it comes to Medicare cant be stressed enough. Withou... Read more
News Brief:
New Code Will Boost Pay for Complicated Cataract Surgery
As of CPT 2001, ophthalmologists will have a new CPT code to use for coding complicated ca... Read more
New Code Will Boost Pay for Complicated Cataract Surgery
As of CPT 2001, ophthalmologists will have a new CPT code to use for coding complicated ca... Read more
Compliance Tip:
No Standing Orders Allowed for A-scans
An ophthalmologist may want to see fundus photos or A-scans on a regular basis. To have a ... Read more
No Standing Orders Allowed for A-scans
An ophthalmologist may want to see fundus photos or A-scans on a regular basis. To have a ... Read more
Reader Question:
-YB Modifier
Question: Is the -YB modifier billable and payable on 92235 (fluorescein angiography [incl... Read more
-YB Modifier
Question: Is the -YB modifier billable and payable on 92235 (fluorescein angiography [incl... Read more
Reader Question:
Keratoconus
Question: How do you code keratoconus? We have been using 92310 for fitting and 93010 for... Read more
Keratoconus
Question: How do you code keratoconus? We have been using 92310 for fitting and 93010 for... Read more
Reader Question:
Low Vision Exams
Question: Are there specific CPT codes for low vision exams?Florida Subscriber Answer: T... Read more
Low Vision Exams
Question: Are there specific CPT codes for low vision exams?Florida Subscriber Answer: T... Read more
Reader Question:
Postsuture Removal
Question: Although all coding seminars state that postsuture removal is covered in the pro... Read more
Postsuture Removal
Question: Although all coding seminars state that postsuture removal is covered in the pro... Read more
Reader Question:
Injections
Question: If 67025 and 67038 are performed on the same day, what is the proper modifier to... Read more
Injections
Question: If 67025 and 67038 are performed on the same day, what is the proper modifier to... Read more
Reader Question:
Ophthalmoscopy
Question: What is the difference between routine and extended ophthalmoscopy? Is routine ... Read more
Ophthalmoscopy
Question: What is the difference between routine and extended ophthalmoscopy? Is routine ... Read more
Reader Question:
Retina Tomograph II
Question: We recently purchased the Retina Tomograph II. I know that the procedure code i... Read more
Retina Tomograph II
Question: We recently purchased the Retina Tomograph II. I know that the procedure code i... Read more
You Be the Coder:
Modifiers -25 and -57
Question: The doctor saw the patient in the office after she had fallen and cut her eye, w... Read more
Modifiers -25 and -57
Question: The doctor saw the patient in the office after she had fallen and cut her eye, w... Read more
Get Paid for a Resolving Subconjunctival Hemorrhage
Knowing how to code a resolving problem is key to getting paid for that visit and for avoi... Read more
Knowing how to code a resolving problem is key to getting paid for that visit and for avoi... Read more
Optimize Pay for Glaucoma Crises With Careful Documentation
When a patient is going through a narrow angle attack (365.22) or an angle closure attack ... Read more
When a patient is going through a narrow angle attack (365.22) or an angle closure attack ... Read more
Avoid Fraud:
Document Medical Necessity When Patient Denies Cataracts
Some patients who come into the office for an eye exam deny they have vision problems. Oph... Read more
Document Medical Necessity When Patient Denies Cataracts
Some patients who come into the office for an eye exam deny they have vision problems. Oph... Read more
Medicares Routine Services Policy
The following is an excerpt from the routine services policy for Medicare: The coverage of... Read more
The following is an excerpt from the routine services policy for Medicare: The coverage of... Read more
Correction and Clarification:
Photodynamic Therapy
In the article Optimize Reimbursement for Photodynamic Therapy (PDT) in the August 2000 is... Read more
Photodynamic Therapy
In the article Optimize Reimbursement for Photodynamic Therapy (PDT) in the August 2000 is... Read more
Reader Question:
Astigmatism
Question: What is the criteria for payment by Medicare for correction of a surgically indu... Read more
Astigmatism
Question: What is the criteria for payment by Medicare for correction of a surgically indu... Read more
Reader Question:
Hospital Visit
Question: The ophthalmologist makes a follow-up visit to the hospital. It is for an establ... Read more
Hospital Visit
Question: The ophthalmologist makes a follow-up visit to the hospital. It is for an establ... Read more
Reader Question:
Hydroxy Apatite Implant
Question: What is the HCPCS code for hydroxy apatite implant? Usually the hospital bills f... Read more
Hydroxy Apatite Implant
Question: What is the HCPCS code for hydroxy apatite implant? Usually the hospital bills f... Read more
Reader Question:
Standby Service
Question: The doctor is required to be present in an operating room when an ocularist meas... Read more
Standby Service
Question: The doctor is required to be present in an operating room when an ocularist meas... Read more
You Be the Coder:
Cyst on Eyelid
Question: A patient who just had cataract surgery came in with a cyst on her eyelid. Our d... Read more
Cyst on Eyelid
Question: A patient who just had cataract surgery came in with a cyst on her eyelid. Our d... Read more
Optimal Coding for Excisions of Multiple Benign Lesions from Eyelids
When a pathology report shows a patient has a single benign lesion that was excised from t... Read more
When a pathology report shows a patient has a single benign lesion that was excised from t... Read more
PDT Update:
HCFA Wants 67299 for Photodynamic Therapy
The Health Care Financing Administration (HCFA) is cracking down on photodynamic therapy (... Read more
HCFA Wants 67299 for Photodynamic Therapy
The Health Care Financing Administration (HCFA) is cracking down on photodynamic therapy (... Read more
Know New Medicare Fee Schedule for Proper Payments in 2001
With only three months to go until 2001, its time to be sure youre ready for the two main ... Read more
With only three months to go until 2001, its time to be sure youre ready for the two main ... Read more
Correction:
Fundus Photography, Fluorescein Angiography and ICG
In the article Avoid Fraud: Fundus Photography and Fluorescein Angiography Need Two Separa... Read more
Fundus Photography, Fluorescein Angiography and ICG
In the article Avoid Fraud: Fundus Photography and Fluorescein Angiography Need Two Separa... Read more
Reader Question:
Office Visits
Question: We are having some trouble getting paid on office visits within the postoperativ... Read more
Office Visits
Question: We are having some trouble getting paid on office visits within the postoperativ... Read more
Reader Question:
Ophthalmology Fees
Question: Where can I get a list of usual, customary and reasonable fees for ophthalmolog... Read more
Ophthalmology Fees
Question: Where can I get a list of usual, customary and reasonable fees for ophthalmolog... Read more
Reader Question:
Diagnosis Code for Replaced Implants
Question: A patient had a poor visual result from a multifocal implant and had it replaced... Read more
Diagnosis Code for Replaced Implants
Question: A patient had a poor visual result from a multifocal implant and had it replaced... Read more
Reader Question:
Multiple Foreign Bodies
Question: If a physician removes multiple foreign bodies from the same cornea (65220*-6522... Read more
Multiple Foreign Bodies
Question: If a physician removes multiple foreign bodies from the same cornea (65220*-6522... Read more
Reader Question:
Pachymetry
Question: How do you determine the procedure code and appropriate charges for pachymetry w... Read more
Pachymetry
Question: How do you determine the procedure code and appropriate charges for pachymetry w... Read more
Reader Question:
Office Consultation
Questions: When billing an office consultation with a minor office surgery performed on th... Read more
Office Consultation
Questions: When billing an office consultation with a minor office surgery performed on th... Read more
Reader Question:
Silicone Oil
Question: For the use of silicone oil, we have always used 67025 (injection of vitreous su... Read more
Silicone Oil
Question: For the use of silicone oil, we have always used 67025 (injection of vitreous su... Read more
You Be the Coder:
Lacricath Dacryoplasty
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Lacricath Dacryoplasty
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Optimize Reimbursement for Photodynamic Therapy (PDT)
When the federal Food and Drug Administration (FDA) approved verteporfin (Visudyne) this s... Read more
When the federal Food and Drug Administration (FDA) approved verteporfin (Visudyne) this s... Read more
Get Paid for Same Day A-Scan, Cataract Surgery and E/M Visit
Some ophthalmologists perform A-scans (76519) on the same day as cataract surgery (66830-6... Read more
Some ophthalmologists perform A-scans (76519) on the same day as cataract surgery (66830-6... Read more
Correctly Code Transpupillary Thermal Therapy
With all the confusion about coding for photodynamic therapy (see Optimize Reimbursement f... Read more
With all the confusion about coding for photodynamic therapy (see Optimize Reimbursement f... Read more
News Brief:
New IOLs Now Paid by Medicare
The Health Care Financing Administration (HCFA) has announced that effective May 18 two ne... Read more
New IOLs Now Paid by Medicare
The Health Care Financing Administration (HCFA) has announced that effective May 18 two ne... Read more
Reader Question:
Conjunctival Calcium Concretions
Question: How do you code removing conjunctival calcium concretions by needle?Arizona Subs... Read more
Conjunctival Calcium Concretions
Question: How do you code removing conjunctival calcium concretions by needle?Arizona Subs... Read more
Reader Question:
Corrected Billings
Question: We just discovered that for the first six months of this year, we have been char... Read more
Corrected Billings
Question: We just discovered that for the first six months of this year, we have been char... Read more
Reader Question:
Correction of Trichiasis
Question: What is the coding information for 67820* (correction of trichiasis; epilation, ... Read more
Correction of Trichiasis
Question: What is the coding information for 67820* (correction of trichiasis; epilation, ... Read more
Reader Question:
Billing Consultations
Question: Is it appropriate for the ophthalmologist to code a consult when a primary-care ... Read more
Billing Consultations
Question: Is it appropriate for the ophthalmologist to code a consult when a primary-care ... Read more
Reader Question:
Starred Procedures
Question: We have a doctor who likes to charge an evaluation and management (E/M) code wit... Read more
Starred Procedures
Question: We have a doctor who likes to charge an evaluation and management (E/M) code wit... Read more
You Be the Coder:
Separate Procedures
Question: Can 66984 and 65805* be billed together? Does 65805* require a separate identif... Read more
Separate Procedures
Question: Can 66984 and 65805* be billed together? Does 65805* require a separate identif... Read more
Get Paid for Post-op Suture Removal
Suture removal after a procedure is one of the most frustrating areas of surgery for both ... Read more
Suture removal after a procedure is one of the most frustrating areas of surgery for both ... Read more
No 92014 for Routine Checks on Medicare Patients
Ophthalmologists can bill code 92014 (ophthalmological services: medical examination and ... Read more
Ophthalmologists can bill code 92014 (ophthalmological services: medical examination and ... Read more
Get Reimbursed for Level-five Visits
Many ophthalmologists wonder what kind of a case would justify a 99205 or 99215. Some co... Read more
Many ophthalmologists wonder what kind of a case would justify a 99205 or 99215. Some co... Read more
Avoid Fines:
Do Not Code Separately for Schirmer Tests
Many ophthalmologists wonder if they can bill separately for the Schirmer test, which me... Read more
Do Not Code Separately for Schirmer Tests
Many ophthalmologists wonder if they can bill separately for the Schirmer test, which me... Read more
Reader Question:
Corneal Graft
Question: We have a post-corneal-graft patient and we need to do topographical mapping in ... Read more
Corneal Graft
Question: We have a post-corneal-graft patient and we need to do topographical mapping in ... Read more
Reader Question:
Repair of Canalicular Laceration
Question: I am looking for a CPT code for plastic repair of canalicular laceration requiri... Read more
Repair of Canalicular Laceration
Question: I am looking for a CPT code for plastic repair of canalicular laceration requiri... Read more
Reader Question:
Specialty Contact Lens Fit
Question: Is there a code for a non-medical specialty contact lens fit (i.e., bifocals)?Ne... Read more
Specialty Contact Lens Fit
Question: Is there a code for a non-medical specialty contact lens fit (i.e., bifocals)?Ne... Read more
Reader Question:
Severing Adhesions
Question: Is there a limited coverage diagnosis table for procedure code 65865?Texas Subsc... Read more
Severing Adhesions
Question: Is there a limited coverage diagnosis table for procedure code 65865?Texas Subsc... Read more
Reader Question:
YAG Capsulotomy
Question: We have performed some clear lens extractions, which is an elective surgery, an... Read more
YAG Capsulotomy
Question: We have performed some clear lens extractions, which is an elective surgery, an... Read more
You Be the Coder:
Vitrectomy
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Vitrectomy
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Avoid Fraud:
Fundus Photography and Fluorescein Angiography Need Two Separate Reports
"Many ophthalmologists feel its necessary to perform 92250 (fundus photography with interp... Read more
Fundus Photography and Fluorescein Angiography Need Two Separate Reports
"Many ophthalmologists feel its necessary to perform 92250 (fundus photography with interp... Read more
Coding News:
Modifier -25 May be Required With Procedures That Have No Global Periods
Ophthalmologists should be on alert for another possible change to modifier -25 (significa... Read more
Modifier -25 May be Required With Procedures That Have No Global Periods
Ophthalmologists should be on alert for another possible change to modifier -25 (significa... Read more
New Code Under Way for Complicated Cataract Surgery
As a reflection of the extra work involved for complex cataract surgery, the American Medi... Read more
As a reflection of the extra work involved for complex cataract surgery, the American Medi... Read more
Coding Tip of the Month
Insurance companies often dont recognize the difference between a vision exam and a medic... Read more
Insurance companies often dont recognize the difference between a vision exam and a medic... Read more
Reader Question:
Punctal Plugs
Question: Regarding punctal plugs (A4263), if we use a plug that doesnt fit and try anothe... Read more
Punctal Plugs
Question: Regarding punctal plugs (A4263), if we use a plug that doesnt fit and try anothe... Read more
Reader Question:
Epilation and Plug Placement
Question: When billing epilation (using appropriate E codes) as well as plug placement, ca... Read more
Epilation and Plug Placement
Question: When billing epilation (using appropriate E codes) as well as plug placement, ca... Read more
Reader Question:
Orbital Conformer
Question: What is the proper code to use for fitting and placement of an orbital conformer... Read more
Orbital Conformer
Question: What is the proper code to use for fitting and placement of an orbital conformer... Read more
Reader Question:
Limbal Relaxing Incision
Question: The doctor did a limbal relaxing incision for astigmatism at the time of catarac... Read more
Limbal Relaxing Incision
Question: The doctor did a limbal relaxing incision for astigmatism at the time of catarac... Read more
Reader Question:
Visual Field
Question: If a patient has a visual field done on only one eye, do we need to use modifier... Read more
Visual Field
Question: If a patient has a visual field done on only one eye, do we need to use modifier... Read more
Reader Question:
Pars Plana Vitrectomy
Question: How would we code a pars plana vitrectomy with cryotherapy for a retinal tear,... Read more
Pars Plana Vitrectomy
Question: How would we code a pars plana vitrectomy with cryotherapy for a retinal tear,... Read more
You Be the Coder:
Glaucoma Check
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Glaucoma Check
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Avoid the Top Three Coding Mistakes In Ophthalmology
Using specific diagnoses codes, documenting legibly and knowing when to use consultation c... Read more
Using specific diagnoses codes, documenting legibly and knowing when to use consultation c... Read more
Avoid Denials:
Dont Bill Punctal Dilation and Probing Together
Many ophthalmologists wonder if they can bill 68801* (dilation of lacrimal punctum, with... Read more
Dont Bill Punctal Dilation and Probing Together
Many ophthalmologists wonder if they can bill 68801* (dilation of lacrimal punctum, with... Read more
Know Co-management Guidelines to Avoid Fraud
Ophthalmologists need to know the key factors in deciding when it is appropriate to co-man... Read more
Ophthalmologists need to know the key factors in deciding when it is appropriate to co-man... Read more
Clarification:
Correctly Coding Forced Ductions
In the November 1999 issue of Ophthalmology Coding Alert, we answered a reader question ab... Read more
Correctly Coding Forced Ductions
In the November 1999 issue of Ophthalmology Coding Alert, we answered a reader question ab... Read more
Reader Question:
Bilateral Procedure
Question: If we do 68840 (probing of lacrimal canaliculi, with or without irrigation) bila... Read more
Bilateral Procedure
Question: If we do 68840 (probing of lacrimal canaliculi, with or without irrigation) bila... Read more
Reader Question:
Post-op Care
Question: Our ophthalmologist covers for another ophthalmologist. He sees a patient who ha... Read more
Post-op Care
Question: Our ophthalmologist covers for another ophthalmologist. He sees a patient who ha... Read more
Reader Question:
Signature on File
Question: How often do we need to update our signature-on-file forms? Also, can you descri... Read more
Signature on File
Question: How often do we need to update our signature-on-file forms? Also, can you descri... Read more
Reader Question:
Gonioscopy
Question: Can diagnosis code 379.31 (aphakia) be used for CPT 92020 (gonioscopy)? Flo... Read more
Gonioscopy
Question: Can diagnosis code 379.31 (aphakia) be used for CPT 92020 (gonioscopy)? Flo... Read more
You Be the Coder:
Interpretation
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Interpretation
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Optimize Reimbursement for FA and Fundus Photography
To maximize payment for fluorescein angiography (92235) and fundus photography (92250), pa... Read more
To maximize payment for fluorescein angiography (92235) and fundus photography (92250), pa... Read more
Optimize Pay Up For Same Day Minor Surgery
Often an ophthalmologist sees a patient and decides a procedure needs to be performed th... Read more
Often an ophthalmologist sees a patient and decides a procedure needs to be performed th... Read more
Code Blepharoplasty and Levator Repair Correctly
Editors note: In this article, we focus on Florida, where the Medicare carrier does not bu... Read more
Editors note: In this article, we focus on Florida, where the Medicare carrier does not bu... Read more
Reader Question:
Cataract Surgery
Question: How do you code cataract surgery done within the global period of cataract surge... Read more
Cataract Surgery
Question: How do you code cataract surgery done within the global period of cataract surge... Read more
Reader Question:
Scleral Buckle Removal
Question: What is the proper code for removal of a scleral buckle? And what is the proper ... Read more
Scleral Buckle Removal
Question: What is the proper code for removal of a scleral buckle? And what is the proper ... Read more
Reader Question:
IOP Blood Pressure
Question: If we examine a glaucoma patient for IOP pressure check only, and decide to perf... Read more
IOP Blood Pressure
Question: If we examine a glaucoma patient for IOP pressure check only, and decide to perf... Read more
Reader Question:
Consent Forms
Question: A patient was seen and left without signing the insurance authorization form due... Read more
Consent Forms
Question: A patient was seen and left without signing the insurance authorization form due... Read more
Reader Question:
Membrane Extraction
Question: What is the appropriate code for extraction of subfoveal choroidal neovascular m... Read more
Membrane Extraction
Question: What is the appropriate code for extraction of subfoveal choroidal neovascular m... Read more
Reader Question:
Gonioscopy
Question: How do we code for gonioscopy done in conjunction with evaluation and manageme... Read more
Gonioscopy
Question: How do we code for gonioscopy done in conjunction with evaluation and manageme... Read more
Reader Question:
Punctal Plugs
Question: Current coding uses the -E1 to -E4 codes with 68761 (closure of the lacrimal p... Read more
Punctal Plugs
Question: Current coding uses the -E1 to -E4 codes with 68761 (closure of the lacrimal p... Read more
You Be the Coder:
Epilating Multiple Lashes
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Epilating Multiple Lashes
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Maximize Payment for A-Scans by Understanding Medicare vs. Commercial Payers
Ophthalmologists should bill for both eyes together when performing the technical componen... Read more
Ophthalmologists should bill for both eyes together when performing the technical componen... Read more
Optimize Reimbursement for Punctal Plugs
To optimize reimbursement for punctal plugs ophthalmology coders need to be aware of the d... Read more
To optimize reimbursement for punctal plugs ophthalmology coders need to be aware of the d... Read more
Getting Paid for Refractions
To get paid for refractions ophthalmology practices should have the patient sign a waiver... Read more
To get paid for refractions ophthalmology practices should have the patient sign a waiver... Read more
Reader Question:
A-scan and B-scan
Question: We are having problems getting reimbursed from certain HMOs when an A-scan (7651... Read more
A-scan and B-scan
Question: We are having problems getting reimbursed from certain HMOs when an A-scan (7651... Read more
Reader Question:
Ophthalmic Technicians
Question: Does an ophthalmic technician fall under Medicares incident to rules? In other w... Read more
Ophthalmic Technicians
Question: Does an ophthalmic technician fall under Medicares incident to rules? In other w... Read more
Reader Question:
Blood Pressure and Temperature
Question: For billing purposes, is it mandatory that you take a blood pressure and tempera... Read more
Blood Pressure and Temperature
Question: For billing purposes, is it mandatory that you take a blood pressure and tempera... Read more
Reader Question:
Kenalog-40 Injection
"Question: What is the correct way to code for a Kenalog-40 injection? Anonymous... Read more
Kenalog-40 Injection
"Question: What is the correct way to code for a Kenalog-40 injection? Anonymous... Read more
Reader Question:
Corneal Topography
Question: Is there a diagnosis code that Medicare is looking for specifically for reimbu... Read more
Corneal Topography
Question: Is there a diagnosis code that Medicare is looking for specifically for reimbu... Read more
You Be the Coder:
Removal of Foreign Body
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Removal of Foreign Body
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Increase Pay Up for Eye Exams
Which codes should ophthalmologists use for office visits, evaluation and management (E/M... Read more
Which codes should ophthalmologists use for office visits, evaluation and management (E/M... Read more
Reduce Confusion Concerning Fundus Photography and FA
Coding for fundus photography and fluorescein angiography (FA) tend to be confusing to cod... Read more
Coding for fundus photography and fluorescein angiography (FA) tend to be confusing to cod... Read more
Coding Case Study:
Billing for Glue Removal
Ophthalmologists often are presented with unusual situations. Billing for these situations... Read more
Billing for Glue Removal
Ophthalmologists often are presented with unusual situations. Billing for these situations... Read more
Chief Complaint Key for Glaucoma Follow-Up Visits
Ophthalmology coders sometimes find that patients do not always have a chief complaint, a... Read more
Ophthalmology coders sometimes find that patients do not always have a chief complaint, a... Read more
Clarification:
Dont Use Codes on Routine Basis
A July 1999 Ophthalmology Coding Alert article on billing Medicare patients out-of-pocket ... Read more
Dont Use Codes on Routine Basis
A July 1999 Ophthalmology Coding Alert article on billing Medicare patients out-of-pocket ... Read more
Increase Reimbursement by Keeping Denials Down
Keeping track of how Medicare wants you to file claims can be difficult, but when it comes... Read more
Keeping track of how Medicare wants you to file claims can be difficult, but when it comes... Read more
Reader Question:
Billing for Mitomycin C
Question: I was wondering if there is any way to bill for the use of mitomycin C during a ... Read more
Billing for Mitomycin C
Question: I was wondering if there is any way to bill for the use of mitomycin C during a ... Read more
Reader Question:
Strabismus Surgery
Question: When filing for strabismus surgery, what is the proper way to code when the pr... Read more
Strabismus Surgery
Question: When filing for strabismus surgery, what is the proper way to code when the pr... Read more
You Be the Coder:
Probing of Duct
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Probing of Duct
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Billing for Corneal Suture Removal Following Transplant
Normally, the surgeon who does a corneal transplant does not bill for removing suturesif t... Read more
Normally, the surgeon who does a corneal transplant does not bill for removing suturesif t... Read more
Watch Modifier Requirements When Billing Extended Ophthalmoscopy for Both Eyes
Avoid the denials and frustrations associated with reimbursement for extended ophthalmosco... Read more
Avoid the denials and frustrations associated with reimbursement for extended ophthalmosco... Read more
Tactics for Coding Punctal Plug Removal and/or Reinsertion
Many ophthalmologists are confused about how to code for removing punctal plugs, or for re... Read more
Many ophthalmologists are confused about how to code for removing punctal plugs, or for re... Read more
Epilation and Foreign Body Removal During Same Visit
Ophthalmology Coding Alert recently heard about an ophthalmologist who is billing 67820 (c... Read more
Ophthalmology Coding Alert recently heard about an ophthalmologist who is billing 67820 (c... Read more
Filing Co-managed Medicare Claims With Extra Modifiers
If you file Medicare claims electronically, as most ophthalmologists do, you know that you... Read more
If you file Medicare claims electronically, as most ophthalmologists do, you know that you... Read more
Reader Question:
Second Eye Cataract Surgery
Question: How can we bill a pre-op exam for a cataract surgery when its the second eye an... Read more
Second Eye Cataract Surgery
Question: How can we bill a pre-op exam for a cataract surgery when its the second eye an... Read more
Reader Question:
Visual Field Test
Question: How should we code for a visual field test done on one eye? Anonymous Kentucky ... Read more
Visual Field Test
Question: How should we code for a visual field test done on one eye? Anonymous Kentucky ... Read more
Reader Question:
92235 and 92250Bundled?
Question: I have not found any documentation that states 92235 and 92250 are bundled. A fe... Read more
92235 and 92250Bundled?
Question: I have not found any documentation that states 92235 and 92250 are bundled. A fe... Read more
Reader Question:
Coding for Lensectomy
Question: If a surgeon is performing a lensectomy as an alternative to LASIK treatment for... Read more
Coding for Lensectomy
Question: If a surgeon is performing a lensectomy as an alternative to LASIK treatment for... Read more
Reader Question:
Endophthalmitis Injections
Question: Our office just recently started doing injections for endophthalmitis. We have o... Read more
Endophthalmitis Injections
Question: Our office just recently started doing injections for endophthalmitis. We have o... Read more
Reader Question:
76519 Payment
Question: In reference to 76519-26 (ophthalmic biometry by ultrasound echography, A-scan; ... Read more
76519 Payment
Question: In reference to 76519-26 (ophthalmic biometry by ultrasound echography, A-scan; ... Read more
Reader Question:
Fundus Photography
Question: When billing Medicare for a fundus photography, we bill for each eye. We put l... Read more
Fundus Photography
Question: When billing Medicare for a fundus photography, we bill for each eye. We put l... Read more
You Be the Coder:
Billing for Postoperative Care
Test your coding knowledge. Determine how you would code this situation before looking at... Read more
Billing for Postoperative Care
Test your coding knowledge. Determine how you would code this situation before looking at... Read more