Ophthalmology and Optometry Coding Alert - eNewsletter

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Ophthalmology and Optometry Coding Alert – an AAPC eNewsletter

Treating cornea diagnoses is an important part of every eye care practice, but coding them can stop you in your tracks. And then there’s the struggle to identify accurate ICD-10-CM codes for conditions like double pterygium (surfer’s eye) or Fuchs’ Dystrophy.

Ophthalmology coding is not without its challenges, but Ophthalmology and Optometry Coding Alert makes it easy to stay informed, compliant, and profitable.

Optimize Your Ophthalmology & Optometry Reporting with Expert Guidance

Safeguard your bottom line starting today. Subscribe to Ophthalmology and Optometry Coding Alert and take advantage of expert guidance to hone your reporting skills.

Whether you’re trying to understand the bilateral rules for 76519 and 92136 or need tips for selecting the correct code for retinal detachment repair, this specialty-specific resource has you covered.

Every monthly issue of your e-subscription lays out a wealth of information, tackling the challenges you face and delivering reliable answers to questions from coders like you.

5 More Reasons to Subscribe to Ophthalmology and Optometry Coding Alert

  • Timely Updates: Ensure your reporting reflects quarterly NCCI edits, regulatory updates, and revisions to code and guidelines, modifiers, and payer policies.
  • ICD-10 Education: Fast-track your ophthalmology and optometry diagnosis coding with specialty-specific ICD-10 guidance, showing you how to code to the highest level of specificity and establish medical necessity for your services.
  • Profit with Practical Examples: Learn how to report even the trickiest coding scenarios as our experts dissect real-world cases and answers questions from coders like you.
  • Timesaver: Quickly find the information you need in our ophthalmology and optometry coding archive, packed with thousands of coding and compliance articles.
  • Annual CEUs: Earn 6 CEUs toward your CPC or COPC with your subscription to Ophthalmology and Optometry Coding Alert at no extra cost.

CPT® is a registered trademark of the American Medical Association. All rights reserved.

Newsletters are regular and timely publications written by subject matter experts with their fingers on the pulse of your industry.

In the case of coding newsletters, your subscription will give you all the latest information you need, plus a refresher on things you might have learned but forgotten.

Coding newsletters feature real reader questions, interviews, and guidance from experts. You’ll find clinical scenarios and expert advice to explain code choice and guide you through the code selection process. A specialty-specific newsletter promotes accurate coding, leading to higher revenues and less time and money wasted on justifying billing.

Non-coding healthcare newsletters provide up-to-the-minute news on changes in federal regulations governing reimbursement and legislative developments. You’ll find ways to navigate often dense government-speak and learn how to apply regulatory changes to your practice or agency.

The knowledge disseminated in each newsletter issue can help protect your practice or business from costly mistakes and even help boost your revenue with guidance on the best ways to:

  • Code challenging scenarios or use modifiers correctly
  • Stay on top of the latest news and regulatory changes pertaining to the healthcare market
  • Learn how to ethically optimize your reporting to avoid undercoding and missed opportunities

Healthcare Business Monthly is a broad-scope publication that provides information on a range of topics, including human-interest stories based on coders. It also covers healthcare issues beyond coding, compliance, or post-acute care — such as front-desk etiquette, keeping the office clean, etc.

Coding newsletters, more focused than Healthcare Business Monthly, exclusive cover coding, billing, and regulations for the title specialty.

Non-coding healthcare newsletters dig into the regulatory news pertaining to healthcare. These are up-to-the-minute publications. You won’t find such in-depth information for compliance, practice management, MDS, home health, or hospice in Healthcare Business Monthly.

AAPC coding newsletters will help new coders get up to speed on the job. The articles cover several in-specialty topics each month and delve into the specifics of coding procedures and services. A new coder could get information on a coding scenario in a newsletter before they encounter it in the workplace, which is a huge asset.

Coding newsletters provide more exposure to the news you need, and the quizzes offer an opportunity to apply your coding knowledge in a low-stakes situation. Newsletter articles and reader questions add to and reinforce coder training. You’ll find expert opinions and advice from trusted and experienced sources that can help you understand the nuances of the profession.

Throughout the year, all newsletters contain updates to codes and coding guidelines that are vital to new and veteran coders. From articles on code changes and quarterly National Correct Coding Initiative (NCCI) edits to discussions of ad-hoc guideline changes issued by CMS and other agencies, newsletters keep coders informed and current. Having a specialty-focused publication addressing and analyzing updates is an important tool for every coder.

For instance, NCCI edits are often applied behind the scenes to coding software, and coders may be staring at a denial without realizing why. Newsletter articles will update coders to the edits that affect their practices the most and translate them into practical advice. That way, even veteran coders will be aware.

Secondly, there is so much to remember in coding that everyone occasionally forgets how to report something. The newsletter provides a monthly refresher on coding topics that a veteran coder might not have seen in a while.

Finally, most AAPC coding newsletters provide coders with regular AAPC CEU opportunities that can help keep your credentials current.

CPT® is a registered trademark of the American Medical Association. All rights reserved.

Most coding newsletters are specific to a medical specialty, and coders working in those specialties should obviously subscribe to newsletters aligned with their professional interests.
Several newsletters feature subject matter that crosses specialty lines. E/M Coding Alert, ICD-10 Coding Alert, and Health Information Compliance, for example, all contain articles and reader questions applicable to most specialties, practices, and institutions.

You’ll also find newsletters dedicated to compliance, practice management, skilled nursing facility, home health, hospice, and Medicare Part B. These newsletters are beneficial to practice managers, billing/coding staff, Minimum Data Set nurses, clinicians, and administrators.


eNewsletter Title


Medical Coding

Anesthesia Coding Alert


Cardiology Coding Alert


E/M Coding Alert


ED Coding Alert


Gastroenterology Coding Alert


General Surgery Coding Alert


ICD-10 Coding Alert


Neurology and Pain Management Coding Alert


Neurosurgery Coding Alert


Ob-gyn Coding Alert


Oncology/Hematology Coding Alert


Optometry/Ophthalmology Coding Alert


Orthopedic Coding Alert


Otolaryngology Coding Alert


Path/Lab Coding Alert


Pediatric Coding Alert


Podiatry Coding and Billing Alert


Primary Care Coding Alert


Pulmonology Coding Alert


Radiology Coding Alert


Urology Coding Alert



Health Information Compliance Alert


Medicare Compliance & Reimbursement


Part B Insider


Practice Management Alert



Home Care Week


Hospice Insider


MDS Alert


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AAPC newsletters are all available in full-color electronic format. The “flipbook” format functions like an online magazine. You’ll be able to click on live links in articles to go directly to resource websites, and you can do keyword searches of the newsletter.

Articles in an eNewsletter can be downloaded to your computer and then printed.

Newsletters monthly issue date varies from month to month. Different newsletter may or may not be published on the same date of the month.

Fees paid for any subscription term are paid in advance and are not refundable in whole or in part. You may terminate your subscription at any time and continue using the services until the expiration of your pre-paid term.

How to Cancel: You may terminate your subscription by contacting AAPC via phone or email. To ensure that your credit card does not get charged, please make your cancelation request at least two business days prior to the end date of your subscription term.

You will not be able to log in to your account to view a newsletter once your subscription expires. If you decide to end your subscription but would like to refer to past articles, you should download the articles prior to the expiration of your subscription.

It’s time to go retro when you’re reporting these services. Whether your ophthalmologist is seeing inpatients for detached retinas, corneal ulcers, orbital fractures, or other serious situations, you’ve got to understand how to code hospital visits. Although the changes surrounding the revised office/outpatient evaluation and management (E/M) codes seemed all-consuming last year, those changes apply only to office and outpatient [...]

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Use these tips to smooth the conversation with your patients. Performing refraction services can sometimes create a bit of a catch-22 situation at your practice: The eye care specialist has to use refraction to pinpoint a patient’s eyeglass prescription — but Medicare and many other payers won’t reimburse you for refraction. Patients are left with the bill and the office [...]

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Hint: The time element was removed from the 99211 descriptor last year. Whether you report it frequently or you avoid it like the plague, your eye care practice is certainly familiar with 99211. When employed properly, this code can allow certain qualified professional staff to handle low-level E/M visits, which means physicians can focus on higher-complexity patients. If you understand [...]

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Question: A patient presented for his eye appointment and got belligerent when we showed him a past due bill that he needed to pay. He [...]

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Question: We’re confused about what codes we would report for an office visit. Can we bill 92002 and 99204 together for the same patient on the same date of service? The same ophthalmologist provided both services. Virginia Subscriber Answer: No. You cannot bill these two codes together because they indicate the same type of service — a new patient visit. [...]

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Keeping track of all the variables involved can be challenging. According to the Centers for Disease Control and Prevention (CDC), 4.2 million Americans suffer from diabetic retinopathy (DR), and 655,000 have vision-threatening retinopathy. It is the leading cause of new cases of blindness in working-age adults. Early detection and proper treatment are critical to your patients — and proper coding [...]

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