A New Year Brings New Code Changes – Review of Ophthalmology

Date: February 2, 2014

An overview of the new ophthalmic CPT code changes, as well as changes to facility reimbursements and doctor bonuses.

This article answers the following questions:

  • Were there changes made to the values of some ophthalmic CPT codes in 2014?
  • Are there any changes to ICD-9 diagnosis codes that require attention?
  • Are there any new drug codes pertinent to ophthalmology in the 2014 Healthcare Common Procedural Coding Manual?
  • Are there any Category III code changes for 2014?
  • What changes were published with Category I codes in CPT 2014?
  • What types of regulatory issues were identified in the Office of the Inspector General’s annual work plan as areas of concern for ophthalmology in 2014?
  • Is the Recovery Audit Contractor program continuing to report successful recoupment of overpaid dollars?
  • Do any Medicare Part B changes affect beneficiaries in 2014 from a cost perspective?
  • Are there any bonuses for participating in the Physician Quality Reporting System of the Electronic Prescribing Incentive Program in 2014?
  • Will the Electronic Health Record Incentive Program continue to pay bonuses to eligible providers?
  • Will the Multiple Procedures Payment Reduction continue in 2014?
  • What’s happening with Ambulatory Surgery Centers’ facility fees in 2014?
  • Did hospital outpatient department rates increase similarly to ASC facility rates?

Published in: Review of Ophthalmology's Medicare Q & A column

Written by: Vice-President, Donna McCune, CCS-P, COE, CPMA

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