Aug. 18 Webinar: Coding and Billing for post-cataract glasses

This 50-minute webinar will be held noon central time on Thursday,  Aug 18. It is only $49 and will be recorded so you can watch it anytime. This Webinar will be specific to ophthalmology and optometry (Eyecare).

This webinar will include numerous rules and guidelines concerning reporting services to the DME-MAC, or durable medical equipment, Medicare administrative contractor. It will cover eyeglasses, contacts and prosthetic eyes. This unique niche is either loved or hated by Eyecare professionals. Many have given up due to the increased paperwork and complexity. However, it is a valuable niche market if you have an optician or sales staff that is comfortable upselling patients on additional features.  This is an updated 2016 version from the EyeCodingForum comprehensive billing and coding course. In this webinar you will learn:

  1. What is DME-MAC?
  2. Basic reporting guidelines
  3. Specific HCPC codes
  4. How to streamline the process
  5. Upselling
  6. Marketing your services
  7. Carrier-specific rules
  8. DME-MAC modifiers
  9. Other supplies
  10. Tying it all together

This Webinar is included in our Site License or order a bundle of four for a 50 % discount. If you have any questions please be sure to send them to us beforehand:

Click here to Order.

Priority Question and Answer Service for coding, billing, and documentation questions

This support service will use a formal Ticket System plus include a  searchable Knowledge-Base (KB), organized by category with hundreds of the most common Eyecare coding and billing questions. The goal is to answer all posted questions within 24 hours. The KB will be available 24X7. Most questions should be answered the same day, during normal business hours (M-F, 8-5).

Until the end of October, you can test out the system below. You can view over 75 of the most common questions in the knowledge-base without creating a user ID.

After Nov 1 if you wish to test the system send us an email on our contact form and we will set you up with a temporary ID. You have a coding question, post it and then you will be notified of a response within 24-48 hours.

This Priority Q and A service is available for only $25 per month or free toall EyeCodingForum:

  1. Site License clients ($499 per year)
  2. ICD-10 Comprehensive Coding Course clients ($275 until Oct 1 2016).

Remember just one paid claim or coding question solved could pay for the service for an entire year.


Jeffrey Restuccio, CPC, COC, MBA
Coding Specialist in Eyecare

August 28 ICD-10 Coding Questions for ophthalmology and optometry

Prepare for Oct 1 by working the 12 attached coding questions.

aug 28 questions

The answers are made available to our ECF ICD-10 clients (4-page form or comprehensive course).

We will package all ICD-10 questions for Eyecare shortly with the answer key.

August 21 ICD-10 Questions for ophthalmology and optometry

Prepare for Oct 1 by working the 12 attached coding questions.

Aug 21 questions

The answers are made available to our ECF ICD-10 clients (4-page form or comprehensive course).

We will package all ICD-10 questions for Eyecare shortly with the answer key.

What are some of the ICD-10 changes for Ophthalmology and Optometry?

Specific ICD-10 Concepts and Guidelines relevant to Coding correctly for Eyecare (Ophthalmology and Optometry)

  • 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
  • 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

These are all covered in the EyeCodingForum ICD-10 Coding online Webinar. (six hours) It is recorded and available anytime. Order Here.


ICD-10 Sections relevant to Eyecare (Ophthalmology and Optometry

How long and many codes should you review to feel comfortable you will be ready for ICD-10 in October 2014. Here is a short list of all the sections I review in my six-hour, online ICD-10 Training course for Eyecare.

ICD-10 categories relevant to Eyecare

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

The EyeCodingForum Webinar is available to order now.

Which ICD-10 Training for Eyecare is right for you?

ICD-10 training for Ophthalmology and Optometry (Eyecare)

You could attend at least two separate ICD-10 seminars for Eyecare from two, different consultants. You will be surprised at how the same material can be presented multiple ways. Examples of how ICD-10 training can be presented is listed below:

  1. By category:,, etc… (glaucoma, vitreous, neuropathies…)
  2. Using a common fee ticket from both Optometry and Ophthalmology.
  3. Optometry needs will be slightly different from Ophthalmology (generally splitting the difference). Providing separate tracts works better online. Ophthalmological specialists in pediatrics, neuro, and retinal conditions will have specialized codes of interest to them.
  4. Office versus hospital coding (surgical procedures / ophthalmology). Optometrists would not be concerned with hospital coding whereas surgical Ophthalmologists would.
  5. By ICD-10 coding concept or guideline: Placeholder Code (N), the meanings of Excludes 1 and Excludes 2 notes, combination codes, sequelaes, injuries, refraction, signs and symptoms, diabetes, screening codes.
  6. Adding numerous clinical examples and explanations for non-clinical staff.
  7. Adding reimbursement tips for common conditions such as DES, glaucoma, flashers and floaters and refraction code.
  8. Separate training for Optometry versus Ophthalmology. Ophthalmology will need more emphasis on chronic diseases as well as specialties for glaucoma, cataracts neurology, pediatrics, and retinal conditions.


Intro to ICD-10 Coding Training (Feb 2013)

The list below refers to the Feb 21 Webinar. All Webinars are recorded and it can be viewed anytime. Webinars are $49 each or purchase blocks of 4 or 8 for $99 and $199, respectively.

Category ICD-9 Description
Macula 362.51 ARMD dry
362.52 ARMD wet
362.57 Drusen
Diabetes 8 codes plus manifestation codes
250.00 DM II controlled
250.01 DM I controlled
250.02 DM II uncontrolled
250.03 DM I uncontrolled
250.50 DM II controlled, ophthalmic manifestation
250.51 DM I controlled, ophthalmic manifestation
250.52 DM II uncontrolled, ophthalmic manifestation
250.53 DM I uncontrolled, ophthalmic manifestation
Glaucoma Two codes: glaucoma plus stage code for ICD-9
Many types
365.11 POAG
365.02 Borderline glaucoma [glaucoma suspect]: anatomical narrow angle
Four types of glaucoma suspect in ICD-9
365.70 glaucoma stage, unspec
365.71 glaucoma stage, mild
365.72 glaucoma stage, moderate
365.73 glaucoma stage, severe
365.74 glaucoma stage, indetermine stage
366.31 Secondary glaucoma
Infant ROP has 9 fifth digit options – rarely coded.
362.2x Stages zero through 5.
Cataracts numerous types depending on age and location. Again, not coded specifically in ICD-9
366.01 Cataract: infantile, juvenile, and presenile cataract: anterior subcapsular polar cataract
Post subs 366.02 Cataract: infantile, juvenile, and presenile cataract: posterior subcapsular polar cataract
cortical 366.03 Cataract: infantile, juvenile, and presenile cataract: cortical, lamellar, or zonular cataract
nuclear 366.04 Cataract: infantile, juvenile, and presenile cataract: nuclear cataract
Post subs 366.14 Senile cataract: posterior subcapsular polar senile cataract
cortical 366.15 Senile cataract: cortical senile cataract
nuclear 366.16 Senile cataract: nuclear sclerosis
366.53 Cataract: after-cataract: after-cataract, obscuring vision
congenital codes
congenital codes 743.32 Congenital cataract and lens anomalies: cortical and zonular cataract
743.33 Congenital cataract and lens anomalies: nuclear cataract
Cataract, Secondary
379.34 Aphakia and other disorders of lens: posterior dislocation of lens
366.15 cortical senile cataract
Trauma 918.1 corneal abrasion
930.0 corneal FB
363.72 CH rupture (choroidal detachment: hemorrhagic choroidal detachment
Symptoms 368.00 amblyopia, unspecified
368.2 diplopia
379.91 eye pain
368.15 photopsia
368.10 subj visual disturbance
368.11 sudden visual loss
368.12 transient visual loss
368.13 Visual discomfort
368.14 Visual distortion of shape and size
435.9 TIA
368.40 visual field defect
Visual-R 379.24 floaters
361.32 tear
379.21 PVD
361.31 hole
Miscellaneous 373.01 blepharitis
372.13 conjunctivitis (how many?)
375.15 DES
360.31 hypotony (define)
346.00 migraine headache (lots of types and fifth digit options)
377.01 papilledema
224.5 choroidal nevus
Vascular 377.41 AION
362.32 BAO
362.36 BVO
362.31 CRAO
362.11 hypertensive retinopathy
Inflammation 364.01 acute iritis
363.0x retinitis – codes .01 to .08
379.0x scleritis codes
379.00 scleritis
379.01 episcleritis periodica fugax
379.02 nodular episcleritis
379.03 anterior scleritis
379.04 scleromalacia perforans
379.05 scleritis with corneal involvement
379.06 brawny scleritis
379.07 posterior scleritis
379.09 Scleritis and episcleritis: other
aphakia crosswalk to ICD-10
379.31 Aphakia and other disorders of lens: aphakia
379.32 Aphakia and other disorders of lens: subluxation of lens
379.33 Aphakia and other disorders of lens: anterior dislocation of lens
379.34 Aphakia and other disorders of lens: posterior dislocation of lens
379.39 Aphakia and other disorders of lens: other disorders of lens
743.35 Congenital cataract and lens anomalies: congenital aphakia
743.36 Congenital cataract and lens anomalies: anomalies of lens shape
Entropion codes stay the same except for eyelid
374.00 Entropion and trichiasis of eyelid: entropion, unspecified
374.01 Entropion and trichiasis of eyelid: senile entropion
374.02 Entropion and trichiasis of eyelid: mechanical entropion
374.03 Entropion and trichiasis of eyelid: spastic entropion
374.04 Entropion and trichiasis of eyelid: cicatricial entropion
374.05 Entropion and trichiasis of eyelid: trichiasis without entropion
E931.4 Other anti-infectives: antimalarials and drugs acting on other blood protozoa