Category: Coding Master

Closeup of an Eye

Billing for Surgical Complications: Modifiers -58, -78 and -79

Occasionally a patient may experience a surgery complication that will require additional treatment. The payment for the initial surgery also includes post-op care during the global period (excluding testing). Under Medicare, the global period includes a postoperative time period for minor surgeries that can be either 0 or 10 days. For major surgeries the global… Read More


Beach Cliff

2019 Ophthalmology CMS ICD-10 Updates

This week the Centers for Medicare and Medicaid Services (CMS) released the ICD-10-CM updates for FY 2019. The 2019 ICD-10-CM codes are to be used for patient encounters and discharges occurring from October 1, 2018 through September 30, 2019. Below is a list of ICD-10 code changes that impact ophthalmology. For the ICD-10 codes below:… Read More


Doctor Performing Cataract Surgery

Cataract Surgery Billing and Coding Tips

June is Cataract Awareness Month and we’re giving you our top billing and coding tips for cataract surgery. Cataracts are the leading cause of vision loss in the United States, affecting over 22 million people. To reduce the risk of an audit and get paid correctly and in a timely manner, it’s imperative that your… Read More


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Coding Tips for Common Ophthalmology Services: Part Two

This is the second blog in a two part series on common ophthalmology services and how to avoid billing errors. To reduce the risk of an audit and costly billing mistakes, here are some tips on common ophthalmology tests and procedures. Fluorescein angiography. Use CPT code 92235, Fluorescein angiography (includes multiframe imaging) with interpretation and… Read More


Closeup of an Eye

Mastering ICD-10: Diabetic Retinopathy and AMD

Have you mastered the latest ICD-10 codes for Diabetic Retinopathy and AMD? If you haven’t don’t fear, Eye Med Management Solutions to the rescue! The tables below include the coding for nonproliferative diabetic retinopathy (NPDR), proliferative diabetic retinopathy (PDR), wet age-related macular degeneration (AMD), and dry age-related macular degeneration (AMD). It’s important to remember that… Read More


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