2025 Coding Companion Ophthalmology

Available December 2024

Consolidate the coding process with the Coding Companion; your one-stop coding resource developed exclusively for ophthalmology. This comprehensive and easy-to-use guide is updated for 2025 and organized by specialty-specific CPT® codes. Each CPT® code includes its official description and lay description, coding tip, Medicare edits, relative value units and cross-coding to common ICD-10-CM diagnosis codes to complete the coding process. Getting to the coding and reimbursement information you need has never been so easy.

Key Features and Benefits

• Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in your practice. With CPT® E/M Guidelines and our Optum Coding Tips, you have all the information you need to select the correct E/M code for the service provided.
• Quickly find information. All the information you need is provided, including CPT® full code descriptions, lay descriptions, coding tips, post op or follow-up days, Medicare edits including IOM references and Medicare Unlikely Edit designations (MUE), and commonly associated ICD-10-CM diagnosis codes.
• Procedure code icons – Quickly identify new, revised, add-on, and telemedicine procedure codes, making your coding process for procedures and E/M services quick and efficient.
• ICD-10-CM code icons – Icons identifying male and female only codes, as well as age-related and laterality diagnosis codes.
• Easily determine fees for your practice and reinforce consistency in the charges. Relative value units including the practice, work, and malpractice components with the total RVUs for non-facility and facility also included.
• CPT® Assistant references. Identifies that an article or discussion of the CPT® code has been in the American Medical Association’s CPT® Assistant newsletter. Use the citation to locate the correct volume.
• Avoid claim denials and/or audits. Medicare payer information includes references to Internet Only Manual (IOM) guidelines, follow-up days, and assistant-at-surgery.
• CCI edits by CPT® and HCPCS procedure code. CPT® and HCPCS procedure codes with their associated CCI edits are provided in a special section. Quarterly updates, and other significant updates for this Coding Companion, are available online at Optumcoding.com Product Update page.

CPT® is a registered trademark of the American Medical Association.

ISBN: 978-1-62254-928-3