cataract surgery

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    Wiki new to billing for anesthesia

    We want to start billing for anesthesia in-house and have not previously. We don't fully understand the conversion factor rates for CMS or how to calculate it. Could anyone give me an example of what we would submit on a claim for 00142 if the anesthesia time was 15 min, pt is P1, and we are...
    • ssirsky
    • Thread
    • anesthesia cataract surgery
    • Replies: 0
    • Forum: Anesthesia
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    Wiki Co-Managed Billing bilateral done on separate days

    I am looking for a little clarification on how to appropriately bill co managed claims. Our surgeon performs some of the post op care. example Patient A has cataract surgery on 02/09/21 for OD eye, patient is seen in our office for PO visit next day 02/10/2021 for PO day 1 on OD eye, patient is...
  3. J

    Wiki Multiple Pass-through drugs used during IOL surg - will Medicare pay

    We are going to start using Dexycu (J1095) and Omidria (C9447) during IOL surgery (66984) done in an ASC, both of these drugs are approved for pass-through status with Medicare. Will Medicare apply any additional adjustments to J0195/C9447 when both drugs are used during the same surgery? Thank you
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    Wiki Anthem BCBS Denying 2nd Eye Cataract Surgery

    Is anyone having issues with Anthem denying/rejecting the second eye cataract surgery within global of the first eye as "modifier used is inconsistent with procedure?" 66984 - RT w/ ICD-10: H25.811 66984 - 79, LT w/ ICD-10: H25.812 We have never had issues before and cannot get through to a...
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    Wiki Billing Medicaid for Postoperative Eyeglasses for Cataract Surgery

    I work in an ophthalmology office and am constantly billing post operative eyeglasses for cataract surgeries to DME and have had no problem getting them paid. (We use CPT codes V2303, V2305, etc. and ICD-10 code Z96.1). I have recently tried billing Medicaid for a pair of post operative...
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