Billing and Coding
New noteworthy optometry codes
Changes in coding and reimbursements worth knowing. Meanwhile, with the clock winding down on 2023, the AOA continues to press for Congress to act on reforms that would give doctors of optometry an annual, permanent inflationary Medicare payment tied to the Medicare Economic Index.
Modifier -25: How to use it appropriately and avoid costly penalties
The federal government and private payers are heavily scrutinizing the use of modifier -25. When used appropriately, it can help to ensure that patients receive appropriate treatment and that doctors of optometry are reimbursed appropriately for their service. If you believe a claim that includes modifier -25 was inappropriately denied, follow appropriate criteria when appealing.
3 coding questions cracked
Does Medicare allow you to bill fundus photos and an optical coherence tomography on the same day for two different diagnoses? The answer to this question, and more, from the AOA’s experts.
CPT codes deleted in 2023—do you know what codes may be billed to replace them?
The answer to this question, and more, from the AOA’s coding experts.
Crack the Codes
The AOA’s Coding Experts offer guidance to support doctors and staff in providing the best possible patient care while ensuring accurate reimbursements are received.
Why proper documentation is vital
And how to ensure a patient’s medical record is properly documented.
Common coding Qs answered
These are the coding questions your colleagues are asking—and the answers from the AOA’s experts could help you.
How and when to code for social determinants of health
There can be barriers to the use of Z codes.
COVID-19 PHE ends today: What you need to know
The public health emergency officially expires on May 11 with immediate consequences on PREP Act vaccination authority and federal student loans, while telehealth allowances receive several months’ reprieve.
Most asked coding questions: dilation
The AOA’s experts provide answers to the questions your colleagues are asking.
2 points to keep in mind when patients decline dilation
While dilation is not required when coding for a comprehensive eye exam following CPT guidance, it is the standard of care.