Surgical procedures on the eye can be complex because of the unique anatomical structures and microsurgical techniques involved. Ophthalmic or ocular surgery is performed on the eyeball and its accessory tissues, including the conjunctiva, extraocular muscles, eyelids, lacrimal system, and optic nerves. This course provides an overview of the ophthalmology procedures classified in the Eye and Ocular Adnexa subsection (65091-68899) of the Surgery section of the Current Procedural Terminology (CPT®). This course also introduces the learner to the format, guidelines, and common modifiers pertinent for reporting surgical procedures on the eye. The course will focus on identifying the appropriate code for ophthalmological surgical procedures using case studies and scenarios. A current copy of the Current Procedural Terminology (CPT®), Professional Edition is strongly recommended to optimize your understanding of the content covered.
“This program has been approved for 1.5000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
This activity is approved for 1.5000 contact hours.
Section 1: Introduction
About This Course
Section 2: Overview
Overview of Ocular Surgery
Ophthalmological Surgical Procedures
Section 3: Format and Guidelines
CPT Ocular Procedures Format
CPT Ocular Guidelines
Other Coding Guidelines
Section 4: Coding Ophthalmology Procedures
Coding Ophthalmology Procedure Scenarios
Section 5: Coding Application: Ophthalmology Procedures
Case Study 1
Case Study 2
Case Study 3
Case Study 4
Case Study 5
Section 6: Conclusion
Reviewer: Catrena Lewis, JM, CPCO, CCS, CCS-P, CHTS-PW, CPC, CIC, CRC, CPC-I
Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified coder of physician/professional (CPC) and outpatient hospital services (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has extensive experience in both professional and facility ICD-10-CM/PCS, CPT and HCPCS coding, auditing, and revenue cycle management and as an educator of hospital and professional medical coding curriculum. She has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored coding textbooks and instructional resources.Disclosure: Sarah A. Serling, CCS, CPC, CRC, COC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
Catrena "Cate" is Curriculum Designer at Relias. Her primary responsibility lies in the Revenue Cycle and Coding area. She holds a Juris Master with a concentration in Healthcare Regulations from Florida State University’s College of Law. She has over twenty years of revenue cycle and coding experience and is credentialled by both nationally recognized certifying bodies for health information and informatics professionals in the United States, AHIMA and AAPC.Disclosure: Catrena Lewis, JM, CPCO, CCS, CCS-P, CHTS-PW, CPC, CIC, CRC, CPC-I has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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