Ask the Coding Experts, by Doug Morrow, O.D., Harvey Richman, O.D., Rebecca Wartman, O.D.
Excerpted from page 45 of the January/February 2017 edition of AOA Focus.
AOA's experts share solutions to your coding conundrums.
Q. What is the code for Bear Track retinal pigment?
The diagnosis code would be "Dystrophies primarily involving the retinal pigment epithelium (H35.54)"
Q. It appears that some of the new ICD-10 codes are not included in the current PQRS specifications. What should I do?
The update to ICD-10 coding that occurred on Oct. 1 has affected Physician Quality Reporting System (PQRS) reporting for some measures. PQRS measure specifications for 2016 were not updated to include the coding changes that took place on October 1. CMS is currently in the process of developing a solution.
Q. Is there an online lookup for ICD-10 codes?
Yes, it can be found on the AOA Coding Today website.
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2017 coding resources now available
The 2017 AOA Codes for Optometry book with 2017 Express Mapping Card and AMA CPT Professional Edition are available at AOA Marketplace.
Ask the coding experts
Evaluation and management (E/M) services are incredibly important in patient care, and it’s critical that optometry practices are aware of changes ahead. Meanwhile, the AOA and other leading physician organizations are pushing legislation that would halt Medicare payment cuts resulting from the changes.
Time to review your practice’s billing and coding: Access national benchmark data for optometry practices and join an upcoming webinar to learn more about E/M code changes in 2021.