Coding Commentary

Documentation still counts

In the COVID-19 pandemic, one old rule still applies: If you didn’t write it down, you didn’t do it.

New day for extended ophthalmoscopy

New rules and codes apply starting this year. The requirements are tighter and the reimbursements lower.

Coding for surgery in the postop period

How to use modifiers 58, 78 and 79 for a planned or unplanned trip back to the OR.

Is laser for vitreous floaters covered?

Answers to one of the most common questions our coding expert gets.

2019 updates, changes and trends

Some of the coding changes are minor, others not so. Here’s a rundown.

Challenges With Silicone Oil Removal

Four scenarios that can help you determine the right coding for complicated cases.

Demystifying the Global Surgical Package

When you can and cannot bill for services during the 90-day surgical global period.

Yet Another Medicare Audit Process

Here’s what you can expect from and how you can prepare for a Targeted Probe and Education review.

I Just Bought an OCTA. Now What?

There’s already a CPT code for that. Here’s why it suffices to submit claims for optical coherence tomography angiography.

Avoiding Post-Surgical Modifier Confusion

How to use three modifiers for surgery that falls within the global period of another procedure.

Reporting Self-Identified Overpayments

What the 60-day rule for Medicare overpayments really means.

Handling Overfill for Single-Use Drugs

What CMS expects for documentation and reporting of leftover anti-VEGF drugs.

Get Ready For ICD-10 Changes

The one-year reprieve ends October 1. Here’s what you can expect and how to prepare.

Coding and Reimbursement Updates

Changes in 2016 amount to a sharp reduction in physician reimbursements.

What VBPM Can Mean to Your Practice

A deep dive into how CMS defines and uses Value Based Payment Modifier. Part 2 of 2.

Making Sense of PQRS and VBPM

Knowing Medicare’s key measures can help you avoid penalties. Part 1 of 2.

Genetic Tests: A Coverage Challenge

AAO advises restraint with genetic testing; payers go slow.

OCT and FP: Why can’t I bill both?

New guidance from CMS describes why and the few times when you can.

Video Vault

Minimally invasive management of lenticular deposits

Akshay Thomas, MD, MS, of Tennessee Retina demonstrates his surgical technique for removing posterior intraocular lens deposits.