ICD-10 Coding for Ophthalmology and Optometry Outline

This six-hour, online, recorded Webinar ICD-10 Coding for Optometry and Ophthalmology is available for purchase now [click here]! Everyone purchasing this course will receive all updates free until the implementation date of Oct 1 2015. Top Questions:

  1. This is a per clinic (tax id) fee (up to 10 providers).  All staff are included.
  2. If you have 40 providers then you must order 4 subscriptions.
  3. You can watch the videos anytime (24X7) and multiple times.
  4. They are streaming videos. You do not download them put stream them on a computer. Each is a PowerPoint presentation with audio narration. You can see examples on the EyeCodingForum Youtube channel.
  5. After you  purchase you will be sent to a menu page with all the recorded video links.  Click on the link to view the training.
  6. We updated the course early May 2015. This should be the last major update until after Oct 1 2015. If you purchase the ICD-10 training alone you will get access to to the course until Oct 1 2015. After that you will be offered to extend the membership for a discounted price.
  7. The recorded EyeCodingForum version is the same seminar I teach nationally live for CrossCountry Education.

ICD-10 Training for Optometry and Ophthalmology

Learn the changes between ICD-9 CM and the new ICD-10 CM codes specifically for Eyecare

This Webinar will help you:

  • Become familiar with ICD-10 CM organization and guidelines
  • Understand new eye disease descriptions for coding and billing staff
  • Learn the basic coding concepts and guidelines for Eyecare providers.
  • Implement ICD-10 with a minimum of disruption to your practice.
  • Identify expanded codes (diabetes, injuries, alcohol/substance abuse, postoperative complications)
  • Examine new combination codes for Eyecare conditions, symptoms, or manifestations.
  • Learn the significance of the 5th, 6th, and 7th character extensions
  • Prepare for right, left, bilateral, and unspecified eye codes.
  • Examine how current V codes transition to Z codes in ICD-10.

Click here to order.

ICD-10 Training for Optometry and Ophthalmology

Introduction, Guidelines, Definitions, Implementation Plan, and more from a leading Eyecare Coding and Billing Instructor

This seminar will provide managers, coders, billers, and providers the information they need for an informed transition to ICD-10 on October 1, 2015. The time to learn this vital information is now. ICD-10 is an updated system for the reporting of diseases, conditions and other factors affecting healthcare. Most experts recommend allocating up to 16 hours of ICD-10 training for providers and staff.

There are numerous organizational and managerial tasks that need to be performed in preparation for ICD-10. These include but are not limited to preparing and implementing a training program, reworking fee tickets, updating practice management software, establishing documentation policies, and an internal audit system to ensure accuracy and compliance.

The ICD-10 CM system consists of more than 69,000 codes, compared to approximately 14,000 ICD-9-CM codes. Each ICD-10-CM code consists of 3 to 7 characters, the first being a letter of the alphabet (alpha character), the second a number, and the rest either alpha or numeric. While the increase in the number of codes seems formidable, much of the increase is due to bilateral eye diagnosis codes (right, left, bilateral and unspecified). For example, currently procedures are reported with modifiers RT and LT. After October 1, 2014, most Eyecare diagnoses will be reported by eye or eyelid. The second major issue is specificity. More codes will mean more specific descriptions of diagnoses. All this and much more will be covered during this interactive seminar.

The key to good ICD-10 training course is value-added information. This includes:

  1. Explaining the larger picture. How learning the new coding system affects your practice and reimbursement Explaining coding concepts in an understandable way for managers and providers.
  2. Enhanced descriptions and explanations of the diseases and descriptions for coding and billing staff.
  3. Exceptions and additions including ICD-9 codes that do not crosswalk and new ICD-10 descriptions.
  4. Organizing diagnosis codes and code groups to boost learning.

Another main issue is that most Eyecare professionals are not following all the ICD-9 coding concepts. It is imperative that all Eyecare professionals improve and enhance their ICD-9 coding in preparation for the ICD-10 coding system. All seminars before October 1, 2015 will include the following ICD-9 concepts:

  1. 5th digit specificity.
  2. Reporting two codes instead of one.
  3. Late effects
  4. Accidents (two e codes, one for the injury and one for the location).
  5. Adverse effect codes (e codes)
  6. Screening codes (V codes)
  7. Medical necessity ( this is more of a reimbursement issue but one that all coders must understand)


Documentation Issues Covered

  1. ICD-10 Guidelines Overview
  2. Practice management system
  3. Electronic medical records system
  4. Decide if you are going to use a book, a cheat sheet or a look-up program to select the new ICD-10 codes.
  5. Learn the specific, detailed codes three to six months before implementation.
  6. You will need to integrate the new ICD-10 codes into the LCD’s and medical necessity requirements of carriers

Specific Implementation Plan Topics Covered.

  1. Establishing a training schedule
  2. Reworking the clinic fee ticket
  3. Learning the structure, organization, and unique features of ICD-10-CM.
  4. Using assessment tools to identify areas of strength/weakness in medical terminology and medical record documentation
  5. Pre-implementation audit of the assessment documentation by providers.
  6. Review any documentation from carriers concerning ICD-10.
  7. Review your practice management and your EMR system.
  8. How to develop good coding and documentation habits!
  9. Have an ICD-10 review team meet once a month or send out an e-mail once a month on the status of ICD-10.

Goals and Objectives

  1. Goal: Reduce denied claims
  2. Goal: Reduce improperly documented claims
  3. Report accurately all ICD-10 codes in 2015.
  4. Develop good documentation, coding and billing habits early.
  5. Audit-proof your clinic.
  6. These are all very different but related problems.

What you should bring (applies only to live seminars)?

Coding manuals are not necessary for the live seminars or webinars as all information will be provided. You may bring a copy of your current fee ticket or ICD-9 code cheat sheet. If you have specific codes we can look them up either during the class or send updates through our ICD-10 Coding Training e-mail list. We can discuss unique codes and updates will be sent via e-mail.

Who should attend

  • Optometrists
  • Ophthalmologists
  • Practice managers
  • Coders
  • Reimbursement specialists
  • Billers
  • Nurses

This class provides both an introduction, recommendations for implementation and training as well as a detailed overview of hundreds of new ICD-10 codes and code changes. This will prepare you to use the codes and smooth the way for an easy transition October 1, 2015.

Concepts and Implementation

  • What is GEMS?
  • What are the new guidelines that I need to know?
  • How much time should I allocate toward ICD-10 training?
  • A To-do List of tasks that must be performed before October 1 2014.
  • The importance of eye anatomy to ICD-10 coding.
  • The importance of medical terminology for ICD-10 coding.
  • Why a crosswalk is a first step but not sufficient for accurate coding.

Specific Eyecare Coding

  • Specific detailed review of top Eyecare conditions such as glaucoma, cataracts, DES, ARMD, retinal conditions and injuries.
  • Review of common Eyecare acronyms and how they translate to ICD-10
  • Review of bilateral and non-bilateral codes
  • Eyelid ICD-10 codes
  • Relevant codes not reported by eye.
  • Signs and symptoms codes not specifically Eyecare-related.
  • Injuries and accident codes
  • Top peripheral codes applicable to Eyecare such as diabetes and hypertension.
  • Late effect codes are now listed as “sequela.”
  • Foreign body codes

ICD-10 categories relevant to Eyecare

  • C69.xxx Malignant neoplasm
  • D31.xxx Benign neoplasms
  • H01.xxx: Conditions of the eyelid
  • H02.xxx: Entropions
  • H04.xxx: Conditions of the lacrimal system
  • H05.xxx: Conditions of the orbit
  • H10.xxx: Conjunctival conditions
  • H15.xxx: Conditions of the sclera
  • H16.xxx: Keratoconjunctivitis
  • H17.xxx: Conditions of the cornea
  • H18.xxx: Keratopathies
  • H20.xxx: Conditions of the iris
  • H21.xxx: Disorders of iris and ciliary body
  • H25.xxx: Cataracts
  • H26.xxx: Cataracts, other
  • H27.xx: Conditions of the lens
  • H30.xx: Chorioretinal conditions
  • H31.xxx: Conditions of the Choroid
  • H33.xx: Conditions of the retina
  • H34.xxx: Retinal occlusions
  • H35.xxx: Retinal changes
  • H40.xxx: Glaucoma
  • H43.xxx: Vitreous codes
  • H44.xxx: Disorders of vitreous body and globe
  • H44.6xx: Unspecified retained (old) intraocular foreign bodies
  • H47.xxx: Neuropathies
  • H51.xxx: Convergence disorders
  • H52.xxx: Refraction Disorders
  • H53.xxx: Amblyopia/visual field defects
  • H54.xxx: Blindness
  • H55.xxx: Nystagmus
  • H57.xxx: Pupillary Disorders and ocular pain
  • H59.xxx: Disorders following Surgery
  • Rxx.xxx: Sign and symptom codes (headache, weakness, malaise, fever, shock)
  • R00.xxx: Symptoms, signs and abnormal clinical and laboratory findings
  • Sxx.xxxx: S Codes – injury, poisoning and certain other consequences of external causes
  • Txx.xxxx: T Codes – FB in cornea
  • T74.xxx: adult and child abuse, neglect and maltreatment
  • T36 -T50: Poisoning codes
  • X00.xxx: Injury and Accident codes (initial, subsequent and sequela)
  • Y92.xxx: Place of occurrence (replace E Codes)
  • Y93.xxx: Activity codes (replace E codes)
  • V01 – V099: External causes of Morbidity
  • Z00-Z99: Replace V codes for screenings and histories

Disease and condition concepts

  1. Congenital versus juvenile versus senile–all different ICD-10 categories.
  2. Diabetes coding and manifestations
  3. Glaucoma coding
  4. The importance of coding for accidents and injuries
  5. Understanding screening codes

Click here to order.

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