Ophthalmology is a highly specialized field of medicine that treats eye conditions as well as systemic diseases (e.g., diabetes) with ophthalmic manifestations. Codes for ophthalmology services and procedures may be found in three sections in the Current Procedural Terminology (CPT®) code set: Evaluation and Management (E/M), Surgery, and Medicine. This course covers the basic anatomy of the eye and ocular adnexa as part of the foundational knowledge needed for appropriate reporting of the ophthalmology CPT codes. This course also introduces the learner to the format, guidelines, and common modifiers pertaining to the ophthalmology codes in the Surgery and Medicine sections of CPT. 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 1.0000 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 1.0000 contact hours.
Section 1: Introduction
About This Course
Section 2: Health Sciences
Section 3: Overview
Ophthalmology Procedures Overview
Section 4: Format and Guidelines
CPT Ophthalmology Procedure Format
CPT Ophthalmology Coding Guidelines
Other Coding Guidelines
Section 5: Common Modifiers
Section 6: Conclusion
Exam and BrainSparks
Amy is an SME/writer with the revenue cycle and coding team at Relias. She has over 30 years of medical coding experience, primarily as staff to the ICD-9-CM and ICD-10-CM Coordination and Maintenance Committee at the National Center for Health Statistics (NCHS), one of the Centers for Disease Control and Prevention. She was the project officer for the development of the ICD-10-CM while at NCHS. She is a member of the American Health Information Management Association.
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