The new OCT coding and reimbursement guidelines

Asbell, Riva Lee
April 2011
Ocular Surgery News;4/10/2011, Vol. 29 Issue 7, p40
Academic Journal
The article presents the second part of a series on new optical coherence tomography (OCT) coding and reimbursement guidelines in the U.S. in 2011 focusing on proper usage of codes to comply with Medicare's rules and regulations. The principal instrument used by Medicare for compliance is the Local Coverage Determination (LCD). It details code descriptor, payment and medical necessity and utilization guidelines and LCDs. It cites the Highmark Medicare or National Government Service Medicare.


Related Articles

  • CPT coding changes restrict OCT reimbursements. Asbell, Riva Lee // Ocular Surgery News;3/10/2011, Vol. 29 Issue 5, p42 

    The article addresses confusions or issues on the development of the new coding system Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI). It notes that the coding changes of Current Procedural Terminology (CPT) limit the reimbursements of OCT. It points out that the code pair edits are...

  • Crash 3 Myths That Block Your Understanding Of Modifier 22.  // Pulmonology Coding Alert;May2011, Vol. 12 Issue 5, p28 

    The article discusses three myths and the realities in reporting modifier 22 for increased procedural services. It states that it is not proper to assume that a morbidly obese patient can always add modifier 22. It says that the idea of giving extra payment for a little extra time exerted for...

  • ICD-10: A MASTER DATA CHALLENGE. Wollman, John // Health Management Technology;Jul2011, Vol. 32 Issue 7, p16 

    The article focuses on the International Classification of Diseases 10th edition (ICD-10), the coding system mandated for implementation by U.S. healthcare organizations by October 1, 2013. It illustrates the complexity of the transition from ICD-9 to ICD-10 which reportedly reflects a 712...

  • Ready for ICD-1O Deadline? LEON-CHISEN, NELLY // H&HN: Hospitals & Health Networks;Mar2011, Vol. 85 Issue 3, p56 

    The article reports on an October 1, 2013 deadline which U.S. hospitals have been given to become compliant with the International Statistical Classification of Diseases and Related Health Problems 10th Revision coding system (ICD-10.) Methods which hospitals can use to become better prepared...

  • Beware of coding and reimbursement myths. Painter, Ray; Painter, Mark // Urology Times;Oct2010, Vol. 38 Issue 11, p38 

    The article discusses several myths and offers suggestions regarding Medicare coding and billing. As mentioned, one of the myths is that one cannot capture a high level history on a vasectomy patient as one cannot capture four bullet points on the History on Present Illness as a third, fourth...

  • Coding Q&A. Gibson, Bobby // ACA News (American Chiropractic Association);Oct2010, Vol. 6 Issue 10, p22 

    An answer is presented for a question on the proper bill coding that should be used for the use of a pain relieving light therapy device.

  • Integrative Care. Coding Q&A. Gibson, Bobby // ACA News (American Chiropractic Association);Nov2010, Vol. 6 Issue 11, p18 

    The article presents an answer to a question on the correct billing code for unattended warm-up exercise on a treadmill in a chiropractic office.

  • New Online Resource: Reimbursement and Advocacy.  // ASHA Leader;2/15/2011, Vol. 16 Issue 2, p8 

    The article offers information on the online educational series depicting the key concepts in speech-language pathology and audiology reimbursement and advocacy located at www.asha.org/practice/reimbursement/modules from the American Speech-Language-Hearing Association (ASHA).

  • CODING AND REIMBURSEMENT.  // Audiology Today;Mar/Apr2011, Vol. 23 Issue 2, p54 

    The article offers updates on medical coding and reimbursement in the U.S. It announces the changes in the Physician Quality Reporting Initiative (PQRI) in 2011. It notes that the Centers for Medicare and Medicaid Services (CMS) and Office of the Inspector General (OIG) have started programs to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics