Sample ICD-10 coding exercises for optometry and ophthalmology

Every week the EyeCodingForum will be posting ICD-10 coding exercises for optometry and ophthalmology. These follow our comprehensive, six-hour ICD-10 training program and our 4-page ICD-10 code list (aka “cheat sheet). Click on the image below to print it full-size.

ICD-10 exer 1 July 27 2015 20 codes

The answer key and explanations will be supplied to all EyeCodingForum ICD-10 recorded training, 4-page ICD-10 code list and Site License customers. The EyeCodingForum staff has spent hundreds of hours preparing and educating thousands of Eyecare clinics nationwide. Let us worry about ICD-10 so you don’t have to. If you are not on our e-mail list enter your contact information here. Click to Order Services.

ICD-10 coding exercises for optometry and ophthalmology.

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1

Report viral conjunctivitis. Enter code in the boxes=>

2

Report DM type 1 controlled

3

Dry eye syndrome of both eyes

4

Report dry ARMD of the right eye:

5

Code POAG:

6

Report hyperopia of both eyes:

7

Code for amblyopia of the right eye:

8

The patient presents with pain in the right eye:

9

Code for essential (primary) hypertension

10

Code for tobacco use:

11

Code for a benign neoplasm of rt conjunctiva:

12

Code ptosis of the right upper eyelid:

13

Report unspecified keratitis of both eyes:

14

Code ocular HTN:

15

Code astigmatism:

16

Report presbyopia of both eyes

17

The patient has blurred vision of both eyes

18

The patient presents with red eyes

19

Code for a follow up visit for a FB in cornea, left eye

20

Code for pseudophakia

2015 example of a GEMS ICD-9 to ICD-10 conversion

for ophthalmology and optometry. If you want your codes converted, create a report from your practice management system sorted by quantity (so we can determine your top 100 codes.)

Sample $500 ICD-9 to ICD-10 conversion list

 

ICD-10 Implementation Plan for Eyecare

This is suitable for optometry and ophthalmology offices. It includes:

  1. Overview
  2. Action Items
  3. New to ICD-10 Concepts
  4. What to review starting now
  5. Data entry practice recomendations
  6. Basics
  7. ICD-10 concept review
  8. Reporting 2 codes when required (this is covered in detail in my ICD_10 training course)
  9. Documentation issues pertaining to specific diseases (covered in my online, recorded course)
  10. Injury coding
  11. Top 10 codes/code groups most clinics omit.
  12. List of six actual omitted codes
  13. 42 questions posted separately on the EyeCodingForum

Click on this link to enter  your information and download the free, three-page implementation form.

Four-Page ICD-10 Code Sheet for Eyecare

This form would be suitable for most ophthalmology and optometry offices that report a considerable number of medical diagnoses. For best results we recommend ordering it with our comprehensive ICD-10 training.

The form is $150 per copy and will be mailed to you so be sure to include your mailing address. It will be printed on 11X17 paper and folded in half, and includes nearly 500 codes–more than any comparable form. Their form has far fewer codes plus both unspecified eye codes and unspecified stage codes.

Form Features.

  1. Sorted by Type/Category and then alphabetically.
  2. Many unspecific codes were omitted.
  3. The laterality codes sort properly in numeric order.
  4. Over 100 specific disease codes recommended by the certified coders at the EyeCodingForum.
  5. Diabetic retinopathy codes (all of them) are available as a separate one-page form.
  6. We aggregated over a dozen actual clinics codes to create this form.
  7. This form took well over two weeks (80) hours to create. Plus it requires knowledge of both GEMS and Access database.
  8. Customization is available. This form can be customized for your clinic. We can change the order or format.
  9. We can add your codes. We can subtract codes.

If interested order early; as the deadline approaches our inquiries are increasing exponentially every month. The customization service is a minimum of $350 extra (essentially the same as the ICD-9 to ICD-10 code conversion service.) This upgrade includes up to 5 hours of custom conversion services. Additional formatting is billed at $65 per hour.

The sample is ”watermarked” with red type.

June 6 SUN 4 page Cheat Sheet WM ICD-10 for Eyecare

 

Fee Ticket/ICD-10 Cheat Sheet for Eyecare

This is a one-page form with a focus on unspecified disease codes. If your goal is to avoid denials, increase your medical claims, and report codes specifically and accurately, I do not recommend using this form. We have a specific form, but it’s four pages, not one. You cannot get all the codes on one page and even four leaves out dozens. Compare the unspecific disease codes on this form with your current code list. It’s more what not to code than what to code.

If you want to avoid losing reimbursement after Oct 1, 2015, we recommend:

  1. At least six hours training on the new ICD-10 codes for both staff and providers.
  2. Converting all your current ICD-9 code set to ICD-10.
  3. Or order the $150 sample 4-page Eyecare Form. You can also customize it. Click on the link for details.

If you are having difficulty getting the doctors to report codes more specifically, or your clinic reports less than 10% medical claims, this form might even work for you with minor modifications.

Share it with your friends but be sure to inform them that it’s not a recommended list but a training and education tool. It will help you identify GAPS in your current documentation, code set, and training. If you plan on converting your codes do not delay. The
EyeCodingForum staff will be very busy the last three months before October 1, 2015.

Fee ticket cheat sheet ICD-10 codes for optometry and ophthalmology

Form highlights:

  1. Why is this cheat sheet so bad?
  2. How many unspecific codes can you find?
  3. Numerous unspecific disease codes
  4. Unspecified eyes (waste of space)
  5. Unspecified stage (waste of space)
  6. Hundreds of conditions missing (specificity)
  7. No coding guidelines or instructions. (need training)
  8. Unspecific glaucoma codes
  9. Unspecific cataract codes
  10. Missing Type I DM codes
  11. Only 2 Type II DM codes
  12. No diabetic retinopathy codes (12 per type)
  13. Glaucoma codes alone are a full two pages
  14. *Codes in bold do not have a more specific code

Remember that reporting an unspecific disease code indicates your provider does not know what is wrong with the patient.
Overall, the specificity of your reported codes should be improved with ICD-10 implementation.
Contact us for a detailed, specific, four-page ICD-10 cheat sheet with nearly 500 codes or we can add your codes to this form.

Order here.

Checking the Status of your ICD-10 Training for Eyecare

If you work in an optometry or ophthalmology office the following questions below will help you access your preparation status for the October 1, 2015 ICD-10 deadline.

The EyeCodingForum offers a six-hour, recorded video ICD-10 training course, a Site License offer (ICD-10 training plus over 36 Webinars) and a  comprehensive Top Ten Clinic service. The answers to the questions below are all in my comprehensive ICD-10 training course.

Please share these with everyone you know in Eyecare:

  1. Which eye conditions have 20 ICD-10 codes?
  2. Which eye conditions have 12 ICD-10 codes?
  3. What is an “abnormal finding” during a routine vision exam?
  4. Which category (anatomy) now has seven (7) codes for every condition?
  5. Does pseudophakia [Z96.1] support medical necessity?
  6. How do you report a dense cataract?
  7. Does blurred vision [H53.8] support medical necessity?
  8. How do you report a Drance Heme?
  9. Is degenerative myopia [H44.2*] paid on a medical claim?
  10. How do you report bacterial conjunctivitis?
  11. In ICD-10 you should no longer document wet or dry ARMD by eye (right or left) [True or False].
  12. Modifiers (LT for left, RT for right, and MOD-50 for bilateral) are no longer required after October 1 2015 [True or False].
  13. How do you report a nasal or temporal pterygium?
  14. Is refractive amblyopia [H53.02* ] paid on a  medical claim?
  15. Is internal ophthalmoplegia [ H52.51*] paid on a medical claim?
  16. Can a suture, stent, conjunctival concretion removal be coded as a foreign body removal?
  17. How do you report a rule-out of a blowout fracture?
  18. How do you report laterality for congenital conditions?
  19. How do you report “uncontrolled diabetes Type II” in ICD-10?
  20. How do you report laterality for tension, migraine, ocular, and retinal migraines?
  21. How do you determine which ICD-10 codes have laterality and which do not?
  22. Which codes do not have a bilateral (3) option?
  23. In which two categories would an unspecific condition code be considered reasonable?
  24. Which codes require a “2″ for the right eyelid and a “9″ for the left eyelid [exceptions]?
  25. How will reporting Lupus or Rheumatoid arthritis increase your medical billing?
  26. How do you report a skin tag on the eyelid?
  27. An ophthalmoplegic, ocular, and retinal migraine are all reported with the same ICD-10 code [ True or False?]
  28. The H54.** blindness codes now have laterality [True or False]
  29. What is the congenital code category letter in ICD-10?
  30. What are collagen vascular disorders and why should you care?
  31. How do you report malignant HTN versus benign in ICD-10?
  32. How many drugs/conditions can you name that are paid annual screenings?
  33. How do you sequence AIDS coding related to eyecare manifestations?
  34. How do you code a foreign body embedded in the external eyelid?
  35. How do you code a foreign body embedded in the internal portion of the eyelid?
  36. What code category is used to report accidentally splashing an alkaline substance in your eyes?
  37. What code category is used to report an injury by a paintball gun?
  38. What code category is used to report injuries from a lathe or grinding wheel?
  39. What code category is used to report common locations such as home, school, factory, or a public park?
  40. Z status codes can also have laterality [True or False].
  41. There are ICD-10 codes for a malingerer and noncompliance [True or False].
  42. There is a national requirement for injury activity and location codes [True or False].

Click Here to Order EyeCodingForum Services.

Send emails to: ECF@eyecodingforum.com

 

 

Top Ten Percent of Eyecare Providers

After teaching coding, billing, and documentation for nearly 20 years, and auditing over 10,000 medical charts, and teaching over 300 live classes on Eyecare, I have come to an interesting conclusion.

My services and instruction appeal most to the top ten-percent of coders, billings, providers, and management. That is who is attending my live seminars and attending my Webinars.

My goal, over the next 12 months, is to find these “top ten percenters” and focus on them. Most all transactions can be handled remotely and through Webinars. It’s roughly 1600 Eyecare practices and this service is a a personalized, custom, high-end product. You don’t have to be in the top ten percent today–you just have to want to get there! I’ve had many clinics attend my seminars or a Webinar and they bill very little medical insurance and have never had any formal training so regardless of where you are now, do you want to someday be in the top ten-percent? Here is an overview of the service:

1 Mini audit service (2 per year) $500
2 Eyecare Compliance Plan $299
3 Maximizing Revenue Course $218
4 ICD-10 Training $265
5 Basic ICD-9 to ICD-10 conversion $500
6 All Webinars (36) $1,750
7 12 More Webinars $600
8 Access to other ten-percenters priceless
9 Available for Q and A: priceless
Total value per year: $4,332

This service is the Site License on Steroids. Currently my price-point for the service is $2,000 per year but that may change. If you currently have any other EyeCodingForum subscription, you can upgrade to the Top Ten-Percent Program and I will rebate any amount you have spent in 2015 toward it. The site license offering will increase later in 2015 so that would be an appropriate price. How do you know if you want to be in the top ten-percent? Here is a short list:

1 Establish Baseline audit and training
2 Establish a coding compliance plan
3 Values training and education as an investment with a quantifiable ROI.
4 Agreeable to improving documentation across the board
5 Excited about maximizing medical patients
6 More procedures and tests.
7 Want to work smarter not harder
8 Want greatest income per patient
9 Providers and management involved in all aspects of practice
10 Higher level office visits
11 Focus on audit-proofing clinic
12 Implement education and marketing programs recommended by EyeCodingForum.com

Jeffrey Restuccio, CPC, CPC-H, MBA

www.eyecodingforum.com
(901) 517-1705
ecf@eyecodingforum.com

May 28 Webinar: Creating a new ICD-10 fee ticket

This webinar will explore challenges, options, and strategies for creating a new fee ticket for ICD-10.

The May 28 Webinar is outlined below:

  1. A typical ICD-9 fee ticket
  2. Circling all the unspecific codes
  3. Two fee tickets (short and long)
  4. Policy question: minimal coding or correct coding?
  5. A single doctor office
  6. Multiple doctors
  7. Searching ICD-10 codes by description or crosswalk
  8. The Legend approach and format to cheat sheets (about 1/3 of the webinar will be dedicated to this concept).
  9. Omitting unspecified eye codes
  10. Preview of coding from the manual.
  11. Your Questions

With the increase in codes, this is not a trivial task and there are a multitude of decisions you will need to make concerning how you select codes with ICD-10. The majority of this information is not in my current live or online ICD-10 training but will be included in the Site License (All Training) option. The time to work on how you select codes is now. Do not delay.

Click here to Order any EyeCodingForum Product
Jeffrey Restuccio, CPC, CPC-H, MBA
jeff@eyecodingforum.com
http://www.eyecodingforum.com
(901) 517-1705

How to Get started with ICD-10 training for ophthalmology and optometry TODAY

With our recorded, video training, you can train all your doctors (up to 10), and your staff for one low, discounted price. You can watch the videos anytime and as often as you want until Oct 1 2015. My lives seminars are per student; this is per clinic so it’s a great deal at any price. To get started:

Go to our Order Form page. On the form select either:

  1. The ICD-10 Training Course
  2. Combined ICD-10 plus the coding and billing course.
  3. Site License option (special introductory price) which includes all recorded training: ICD-10, billing, plus over 35 recorded webinars. This is a phenomenal  offer so lock in this reduced price now.

Need testimonials? Click here.
Need an outline? Click here.
Need to see some examples? Click here.

After you purchase the course you will set up a User ID and password. Enter those on the subscription page and you should see a menu with all your training options and links. Click on the subscription link(s) on the left and enjoy the videos.

I have taught this class live over 100 times, I have 15-20 years experience as a coding instructor, and I’ve audited over 10,000 records. I specialize in eyecare. The course is nearly 400 slides and covers about 100 diseases. No other course, and some are twice the price, comes close.

If you have any problems contact me at ecf@eyecodingforum.com or call me at (901) 517-1705. Be specific exactly what the problem is. Most problems are best fixed through emails but the links above should solve 95% of problems.

Jeff

 

Special Training Offer: EyeCodingForum Site License for Eyecare

For a limited time, the EyeCodingForum is offering a Site License: this includes all EyeCodingForum recorded training per clinic for up to ten providers, for one year, for only $499. It represents over 50 hours of training specific to optometry and ophthalmology.

The offer includes:

  1. ICD-10 training specifically for Eyecare (6 hours)
  2. Maximizing Revenue through coding, billing and documentation training specifically for Eyecare (6 hours)
  3. Beginner and an advanced Webinar sets; each set contains six, 50-minute, recorded Webinars. These are bundles of the Webinars below.
  4. A total of 35 recorded Webinars and counting — approximately 35 hours of instruction to save you time, improve your revenue, keep you compliant and increase the effectiveness of your office.
  5. new Webinar every month. You can sit in or watch 12 additional Webinars.

Click on the links above for more information. All courses are recorded video with PowerPoint slides and audio narration. They can be watched anytime, paused like a video and watched again during the one-year period.

After the one-year period you will be offered an option to continue with the training at a discount. This is a limited-time offer. The price will increase after this year.

Order the site license here 

On the Order Form scroll to the bottom of the screen to see Subscription Annual All Training It is second from the bottom on the order form.

Please contact us at the email or number below if you have any questions.