2015 Brings New Codes, Fee Schedule Changes – Review of Ophthalmology

Regulatory issues and reimbursement rates are only some of the things to know about in the new year.

This article answers the following questions:

  • Were there changes made to the value of some ophthalmic codes in the 2015 Current Procedural Terminology manual?
  • Will there be more than one fee schedule in 2015?
  • What is happening to ambulatory surgery center facility fees in 2015?
  • Did hospital outpatient patient department rates increase similarly to ASC facility rates?
  • What changes were published with Category I codes in CPT 2015?
  • Were there any Category III code changes published in 2015?
  • Are there new drug codes pertinent to ophthalmology in 2015?
  • Were there any changes to diagnosis codes or the implementation of ICD-10?
  • What types of regulatory issues were identified in the annual Office of Inspector General Work Plan as areas of concern for ophthalmology in 2015?
  • Are there any changes to the Recovery Audit Contractor Program?
  • Are there penalties and/or bonus dollars for participation in the Physician Quality Reporting System in 2015?
  • Is the Electronic Health Record Bonus Program continuing in 2015?
  • What Medicare Part B changes affect beneficiaries in 2015 from a cost perspective?

This article was published in Review of Ophthalmology’s Medicare Q & A column, which is written by Corcoran’s Vice-President, Donna McCune, CCS-P, COE, CPMA. To view the entire article in Review of Ophthalmology, click on the link below:


See page 20.

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