OPHTHALMOLOGY CODING BEST PRACTICES GUIDE

OPHTHALMOLOGYCODI

NG

BESTPRACTI

CESGUI

DE

OPHTHALMOLOGYCPTCODERANGESI

N 2022

Bel

ow i

sagener

all

i

s

toft

hec

oder

angesf

oropht

hal

mol

ogys

er

vi

c

esandpr

oc

edur

esi

n2022:

9200292014¨CGener

alOpht

hal

mol

ogi

c

alSer

vi

c

esandPr

oc

edur

es

9200292004¨CNew Pat

i

entGener

alOpht

hal

mol

ogi

c

alSer

vi

c

esandPr

oc

edur

es

9201292014¨CEs

t

abl

i

s

hedPat

i

entGener

alOpht

hal

mol

ogi

c

alSer

vi

c

esandPr

oc

edur

es

9201592287¨CSpec

i

alOpht

hal

mol

ogi

c

alSer

vi

c

esandPr

oc

edur

es

9201592145¨COpht

hal

mol

ogi

c

alExami

nat

i

onandEval

uat

i

onPr

oc

edur

es

9220192260¨COpht

hal

mos

c

opyPr

oc

edur

es

9226592287¨COt

herSpec

i

al

i

z

edOpht

hal

mol

ogi

c

alSer

vi

c

esandPr

oc

edur

es

9231092326¨CCont

ac

tLensSer

vi

c

es

9234092371¨CSpec

t

ac

l

eSer

vi

c

es(

I

nc

l

udi

ngPr

os

t

hes

i

sf

orAphaki

a)

92499¨COt

herOpht

hal

mol

ogi

c

alSer

vi

c

esorPr

oc

edur

es

OPHTHALMOLOGYCPTCODERANGESI

N 2022

Bel

ow i

sal

i

s

toft

hec

ommonmodi

?er

sus

edi

nopht

hal

mol

ogy

bi

l

l

i

ng:

RT¨Cr

i

ghteye

LT¨Cl

ef

teye

E1¨Cupperl

ef

teyel

i

d

E2¨Cl

owerl

ef

teyel

i

d

E3¨Cupperr

i

ghteyel

i

d

E4¨Cl

owerr

i

ghteyel

i

d

24¨CUs

ef

orunr

el

at

edE/

M byt

hes

amedoc

t

ordur

i

ngt

he

pos

t

oper

at

i

veper

i

od

25¨CUs

edwhenadi

s

t

i

nc

ts

er

vi

c

ei

spr

ovi

dedbyt

hes

amedoc

t

oron

t

hes

amedayasanot

herpr

oc

edur

e

51¨CUs

ewhenmul

t

i

pl

epr

oc

edur

esar

eper

f

or

medont

hes

ame

daydur

i

ngt

hes

ameenc

ount

er

59¨CUs

edwhent

wodi

?er

entpr

oc

edur

est

hatar

enot

nor

mal

l

yr

epor

t

edt

oget

herar

e

appr

opr

i

at

el

ybi

l

l

edt

oget

herundert

hes

etc

i

r

c

ums

t

anc

es

79¨CUs

ef

orunr

el

at

edpr

oc

edur

esdur

i

ngt

hepos

t

oper

at

i

ve

per

i

odper

f

or

medbyt

hes

amedoc

t

or

E/

M Codesver

s

usEyeCodes

E/

M Codes

E/

Mc

odesar

eus

edt

obi

l

lf

oral

lt

ypesofmedi

c

als

er

vi

c

esi

nc

l

udi

ng,butnotl

i

mi

t

edt

o,t

heeyes

.

Thes

ec

odesc

anbeus

edf

oranyt

ypeofvi

s

i

t

,i

nc

l

udi

ngi

ni

t

i

alvi

s

i

t

s

,f

ol

l

owups

,andc

ons

ul

t

at

i

ons

.Ther

ear

es

ever

aldi

?er

ente/

mc

odesavai

l

abl

e,andeac

honei

ss

pec

i

?ct

oac

er

t

ai

nt

ype

ofvi

s

i

t

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odeshavebeens

ugges

t

edasbei

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ert

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.

EyeCodes

Eyec

odesar

eus

edt

obi

l

lf

ors

er

vi

c

est

hatar

er

el

at

edt

ot

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endt

obevague.Thes

e

c

odesc

anbeus

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orexams

,t

r

eat

ment

s

,andpr

oc

edur

es

.Ther

ear

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s

os

ever

aldi

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enteye

c

odesavai

l

abl

e,andeac

honei

ss

pec

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t

ai

nt

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er

vi

c

e.

How t

oPi

c

kt

heRi

ghtCode

So,whi

c

hc

odes

houl

dyouus

ef

oropht

hal

mol

ogybi

l

l

i

ng?Theans

werdependsonwhatt

ypeof

s

er

vi

c

esyouar

epr

ovi

di

ng.I

ts

houl

dal

s

ot

akei

nt

oc

ons

i

der

at

i

onc

ompl

i

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e,medi

c

alnec

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i

t

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and?nanc

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at

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Choos

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ngt

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r

ec

tc

odei

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t

antf

orens

ur

i

ngt

hatyour

opht

hal

mol

ogybi

l

l

i

ngi

sac

c

ur

at

eandc

ompl

i

antwi

t

hMedi

c

ar

e

andot

heri

ns

ur

anc

epr

ovi

der

s

.I

fyous

el

ec

tt

hewr

ongc

odei

t

c

oul

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eadt

ol

os

tr

evenuef

ort

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t

i

c

eordeni

alofac

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ai

m.

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fawor

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t

c

as

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enar

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et

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i

s

e,s

el

ec

t

i

ngt

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ongc

ode

c

oul

dl

eadt

oanaudi

tandpot

ent

i

alpaybac

ks

.I

t

'

san

under

s

t

at

ementt

os

ayt

hatr

out

i

nel

yc

hoos

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her

i

ghtc

odes

i

si

mpor

t

antf

ort

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uc

c

es

sofyourpr

ac

t

i

c

e.

I

fyouar

euns

ur

ewhi

c

hc

odet

ous

e,bes

ur

et

oc

ons

ul

twi

t

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yourbi

l

l

i

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i

al

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tf

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i

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t

anc

e.Andi

fyou'

r

el

ooki

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or

mor

ei

nf

or

mat

i

ononopht

hal

mol

ogymedi

c

albi

l

l

i

ng,bes

ur

et

o

c

hec

koutourot

herbl

ogpos

t

s

!Wehaveavar

i

et

yofr

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avai

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abl

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hatc

anhel

pyougets

t

ar

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edi

nt

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al

bi

l

l

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ng.

Ques

t

i

onsabouti

mpr

ovi

ngyourpr

ac

t

i

c

e?

We'

dl

ovet

oc

hatabouts

ol

ut

i

onst

hatc

anr

educ

eyours

t

r

es

s

andi

nc

r

eas

eyourpr

o?t

abi

l

i

t

y.Vi

s

i

tusatques

t

ns

.

com or

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nf

o@ques

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.

com.



ques

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