Search

The article discusses alternatives in claiming doctor's fees due to Medicare's ruling to stop disbursing payments for consultations. Starting 2010, Medicare will stop payment for doctor's consultations and in lieu of the directive, codes that specify if the patient is old or new should be indicated in the form. CPT and Medicare define new patient as a person who has not received any face to face service from a practice for three years. Tips on proper coding to ensure payment of professional fees are presented.

The article presents questions and answers related to Medicare rulings on intravitreal injections including how to code an inadvertent intraocular injection and an intravitreal Avastin injection after panretinal photocoagulation.

The article presents questions and answers related to medicare rulings on intravitreal injection including the Medicare policy on Triesence, how intravitreal injections are administered or can subconjunctival injection be performed and be subject for billing, and the use of numbing drops when doing intravitreal injections such as Lucentis and Avastin.

The article outlines some of the coding basics for U.S. retina practice in light of the advent of the Medicare Recovery Audit Contractors (RAC). The coding basics include the definition of new patient, requirements of reimbursement for extended ophthalmoscopy, and the elements of the examination. Other issues of interest for retina practice include coding a consultation more than once on the same patient and coding and billing for errors of wrong intravitreal injection.

The article presents questions and answers related to ophthalmology including what coding to use for a patient who received an inadvertent intraocular injection of a steroid, how to bill a patient that undergone vitrectomy using indirect laser instead of endolaser, and the payment rules for multiple ophthalmic procedures administered on the same day.

The article presents a question and answer related to correct coding for eye trauma caused by an intraocular foreign body.

The article presents questions and answers related to coding for diagnostic tests and screenings in the U.S., including Medicare rules for coding diagnostic tests and offering optical coherence tomography (OCT) screenings on days when the retina physician of a practice is in surgery.

The article presents two questions and answers related to ophthalmology, including which retina procedures can be performed in an Ambulatory Surgical Center (ASC) and be reimbursed by Medicare and the practicality, coding and reimbursement issues and Medicare concerns of doing intravitreal injections at an ASC.

The article provides an answer to a question of whether an office visit can be billed when doing an intravitreal injection.

The article presents answers to a question about a letter received from a non-Medicare insurer explaining an audit for overpayment of claims.

The article presents an answer to a question related to the best way to document interpretations of diagnostic tests.

The article offers clarifications concerning confusion associated with the complex retinal detachment code 67113. Based on Current Procedural Technology (CPT), retinal detachment code refers to the repair of complex retinal detachment with vitrectomy and membrane peeling. The code was introduced in 2008, and prior to its introduction, most complex retinal detachment repairs have been coded using the 67038 + 67108 combination.

The article presents questions and answers related to the misuse of CPT Code 66852, including the 2004 notations be applicable still to the CPT book for 2007-2008, and the appropriate coding scenario for a patient with retinal detachment.

The article presents questions and answers related to codes used by doctors in the repair of retinal detachment, including how to bill based on code 67107 or retinal detachment repair/scleral buckle and how to bill based on code 67229 for retinopathy of prematurity on both eyes.

The article presents questions and answers related to current procedural terminology (CPT) codes in ophthalmology including pars plana vitrectomy with removal of epiretinal cellular membrane, pneumoretinopexy, and tests using the Optos Panoramic200 technology.

The article presents questions and answers related to ophthalmology including the purpose of the E/M Code 99241, the current procedure code for optical coherence tomography (OCT) and the possible reason why a surgeon would do a peripheral iridectomy during a retinal detachment surgery.

The article presents questions and answers regarding retinal surgery in an Ambulatory Surgery Center (ASC) and considerations with the ASC payment reform.

The article presents questions and answers related to documentation for eye consultations including evaluation of a patient with background diabetic retinopathy who was referred by an endocrinologist and a requirement on billing patients for a consultation.

The article presents questions and answers related to the ophthalmoscopy including the use of current procedural terminology codes 92225 and 92226, instructions for vital signs requirements at various seminars, and use of Category III codes and unlisted codes.

The article presents questions and answers related to the ophthalmology practice, including how to bill for intravitreal injections in an Anterior Subcapsular Cataract (ASC), how to bill the office visits by a general ophthalmologist and a retina specialist on the same day, and what modifier 52 is and when it should be used.