Coding for Refractive Error After Surgery – Review of Ophthalmology
Fixing errors after cataract surgery may be as simple as prescribing lenses, but coding the procedure may prove tricky.
This article answers the following questions:
- What are the treatment options for patients with refractive errors after cataract surgery?
- What is considered clinically significant anisometropia?
- At what point is surgery warranted to correct anisometropia?
- What types of surgical procedures are typically performed to correct anisometropia?
- Will Medicare reimburse for these surgical procedures?
- What is the best way to code these procedures for claim submission?
- May these procedures be performed as well as reimbursed in an ambulatory surgery center?
- If our claim is denied do we have any recourse?
- How often are these surgeries filed to Medicare?
- What are the options for pseudophakic patients who desire an improvement in accommodation?
- If the patient is paying for a refractive procedure, are we required to file a claim with Medicare?
- When the procedure is considered refractive, are the fees limited to Medicare’s allowable or limiting charges?
- If the surgeon owns the ASC, must we segregate the ASC charges from the professional charges?
- What are the 2011 Medicare reimbursement rates for these procedures?
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: