I'm looking for ICD 10 codes for opticians

[jrumbaug]

So far I have not seen a simple list of ICD 10 codes for opticians. If I can find codes for hyperopia, myopia, presbyopia, and psuedophakia, I should have 99% of my billing solved.

Any suggestions??

Jim Rumbaugh
Browning Eyecare.

[jrumbaug]

Ok
so for the first time I Googled ICD 10 MYOPIA (duh)

here's what I learned

MYOPIA
H52.11 = RIGHT EYE
H52.12 = LEFT EYE
H52.13 = BILATERAL

Maybe I'll just Google up a list and share it.....

[rbaker]

Purchase here:

https://www.google.com/shopping/prod...MYmhyATyuLTABw

[jrumbaug]

Thanks Dick
I can see that coming, but until then, here's what I "Googled" up

H52.01 Hypermetropia, right eye
H52.02 Hypermetropia, left eye
H52.03 Hypermetropia, bilateral
H52.11 Myopia, right eye
H52.12 Myopia, left eye
H52.13 Myopia, bilateral
H52.221 Regular astigmatism, right eye
H52.222 Regular astigmatism, left eye
H52.223 Regular astigmatism, bilateral
H52.31 Anisometropia
H52.32 Aniseikonia
H52.4 Presbyopia
Z96.1 pseudophakia / Presence of intraocular lens

This may do what I need for billing eyewear. I'm still looking for confirmation. And I'm questioning that pseudophakia code since there is no rt / left / both modifier

[EyeSore]

Jim, Try this http://www.icd10data.com/ICD10CM/Codes/H00-H59

[jrumbaug]

@EyeSore

Thanks for the link. That is the same place where I picked up the codes I posted above. I'm still wondering what code Medicare will want for the first glasses after cataract surgery. The Z96.1 code may work, but I do not know

[CCGREEN]

@ jrumbaug
If you are talking of the "V-CODE" used to file for glasses after cat Sx I use a total of 93 different codes. Basic V2020 and V2025 for the frame. Then it turns into ALL kinds of V-codes to use. The ones you will use will depend on what the Rx is because they pay a different amount per lens based on what the power of the lens is.what the material is what type of seg you are going to use what coatings are going to be used. And the amount they pay is going to be based on what region of the country you are filing in. They have the U.S. divided into 4 maybe 5 regions. Those codes must be updated annually because medicare changes the reimbursement fee. You HAVE to have all your T's crossed and I's dotted and correct codes used because it seems they are looking for reasons to kick it out and have you correct the problem and refile. And no they do not share with you what you need to do to correct it. Find it on your own. Call and talk to someone......good luck.
Now my apologies if none of the above is what you were looking for.
Maybe www.cgsmedicare.com will be of help for you.

[jpways]

For make my list I used the conversion tool at icd10data.com:
http://www.icd10data.com/Convert

[jrumbaug]

@jpways

thanks for the suggestion.

that link goes to the same site that Eyesore recommended and that I have used , BUT, I had not used that page.

Per that conversion utility, the code I have posted is correct and should work. I/we will find out come October.
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@ccgreen

Thanks, but I have the V codes. The re-imbursement is adjusted for each state. The states have been divided in 4 regions for billing.
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FWIW. I have my own home made software that selects the V-code to use. I have been filing electronically for years hassle free. I just want it to continue to be hassle free and I'm looking for the code they want us to use. Sometimes we can be surprised. For example,EVERY carrier will accept the diagnosis code of V43.1 for post cataract specs. The ONLY exception I have encountered is my own home state's WV MEDICAID which wants V45.61 which means "cataract extraction status". I say it makes no sense, but those are the rules the game is played by. Sooooo, I'm just trying to learn the "new rules" to playing this same old game.