Question Title * 1. Medicare establishes documentation requirements and payment policy and all other insurance companies follow. True False OK Question Title * 2. Beginning January 2020, payment for EO is which of the following? Payment is per eye when there is pathology in both eyes. Payment is inherently bilateral. OK Question Title * 3. The bundling edit for EO and fundus photography can be unbundled by appending modifier -59 to fundus photography. True False OK Question Title * 4. When cataract surgery is performed during the same surgical session as cyclophotocoagulation, the appropriate CPT code(s) is which of the following? 66988 66984 + 66711 66984 as the two procedures are bundled OK Question Title * 5. A patient who has had previous refractive surgery undergoes cataract extraction with a standard IOL. Can the surgeon charge the patient separately for use of ORA? Yes No OK Question Title * 6. Whether published or not, each test that can be delegated has frequency edits. Which of the following statements is correct? The frequency edit is per patient. The frequency edit is per physician. OK Question Title * 7. For AMT, does it matter how the membrane is secured? Our physicians placed the multiple layers of membrane with glue. No sutures are involved. Correct coding is: 66999 Unlisted 65780 Ocular surface reconstruction; amniotic membrane transplantation, multiple layers OK Question Title * 8. Is it appropriate to report CPT code 66174 Transluminal dilation of aqueous outflow canal, without retention of device or stent and 65820 Goniotomy, when these two procedures are performed on the same eye to treat glaucoma? The two codes are not bundled in CCI. Submit 66174 and 65820 Submit 66174 only OK Question Title * 9. For the Medicare Part B patient should we be having the patient sign an ABN before each premium IOL surgery and/or each intravitreal injection? Yes No OK Question Title * 10. The patient is in the global period of cataract surgery in the left eye. Presents today for postop of the left eye + preop of the right eye + intravitreal injection of Avastin in the right eye. Correct claim submission is: 67028 -58 -RT + drug 67028 -79 -RT + drug Exam -24 + 67028 -79 -RT + drug Exam -24 -25 + 67028 -79 -RT + drug OK Question Title * 11. Due to complications during the surgery, CPT code 66850 (Cataract extraction without implant) was performed on the right eye in July 2019. An IOL was implanted one month later. What is the correct surgical code and modifier for this second surgery? 66985 -58 -RT Secondary IOL 66985 -78 -RT Secondary IOL 66986 -78 -RT IOL exchange 66986 -79 -RT IOL exchange OK Question Title * 12. Your Name: OK Question Title * 13. Your Email: OK DONE
