Navigate the coding and billing issues that affect your practice.

Are your coding habits up to snuff? AOA HPI provides benchmark data

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.

Appropriate use of modifier 25

Some doctors of optometry are billing claims with modifiers 24 and 25 at a higher rate than other eye care providers.

Changes on the horizon for evaluation and management services

There has been a lot of information disseminated by various individuals and organizations regarding upcoming changes to coding and reimbursement for E/M services. Given the importance of E/M services in patient care, it’s critical that all doctors of optometry are aware of these changes.

AOA Coding Experts gain AMA CPT appointments

AOA representatives now sit on two prestigious AMA CPT coding committees, representing optometry. Access optometric billing and coding resources from 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.
What Medicare’s 2020 PFS changes mean for optometry

Medicare finalized its 2020 PFS with changes to E/M codes, MIPS requirements and more. How AOA’s input shaped rulemaking and what it means for doctors.

2020 updates to the ICD-10 code set

Each year, the Centers for Disease Control and Prevention's ICD-10 Coordination Committee works with stakeholders to revise and update the code set. The new ICD-10 codes go into effect on Oct. 1.

Medicare’s virtual check-in codes

The AOA has long supported appropriate use of telehealth services that rely on an established doctor-patient relationship. CMS believes this new service can help increase efficiency.

The importance of accurate coding and contact lens safety

An overview of the diagnosis codes that can be used to accurately report when an eye injury is related to contact lens use.

Coding for cognitive development test

In 2019, 96111 was deleted, but there are two new codes for these services.

CMS changes to documentation requirements for E/M services 

While there will be no changes to the codes reported or how E/M services are paid in 2019 and 2020, there are changes to what doctors need to document to support reporting of each E/M service.