ICD-10 is here – Ophthalmic Professional

After a few years’ delay, ICD-10 arrived on Oct. 1. You finally have to (get to?) use the new diagnosis coding system (but remember that CPT and all the associated location [RT, LT, E1-E4] and payment [25, 58, 79, etc.] modifiers do not change). You can’t avoid ICD-10 now, except with the very few payers such as workers’ compensation, homeowners, or automobile insurers who were never subject to the ICD-10 conversion mandate (although a change at a future date might be considered).

Here are problems that could potentially arise from newly instituted ICD-10 coverage guidelines, and what to do if you encounter them.

This article addresses the following topics:

  • Changes in coding for edema
  • How to appeal denied claims

This article was published in Ophthalmic Professional’s Coding column, and written by Corcoran’s Senior Consultant, Paul Larson, COE. To view the entire article in Ophthalmic Professional, click on the link below:


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