Ophthalmology Reimbursed

J-Codes & Drug Billing Risk: What Ophthalmic Practices Need to Understand

11 min · 4. feb. 2026
episode J-Codes & Drug Billing Risk: What Ophthalmic Practices Need to Understand cover

Description

Drug billing continues to be a high-risk area for ophthalmology practices. In this episode, Mary Pat Johnson and Rebecca Greenlaw discuss key considerations related to ophthalmology J-codes, including modifier use, dosing accuracy, Medicare reimbursement, and how drug billing decisions can affect performance under MIPS. This practical conversation is designed to help practices reduce audit risk and strengthen compliance. Contact us by calling (800) 399-6565 or visiting CorcoranCCG. [https://corcoranccg.com/]

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11 episodes

episode What the 2026 CPT Panel Actions Mean for Ophthalmology artwork

What the 2026 CPT Panel Actions Mean for Ophthalmology

The CPT Editorial Panel’s February and May 2026 Summary of Actions offers an early look at where coding and reimbursement are headed, and ophthalmology is clearly part of the conversation. In this episode, our consultants break down the ophthalmology-related proposals, accepted actions, withdrawn items, and emerging Category III codes discussed by the CPT Panel. Topics include adult goniotomy coding changes, intraocular drug delivery implants, subretinal prostheses, intracapsular magnification devices, minimally invasive glaucoma procedures, and evolving crosslinking HCPCS reporting. The discussion also explores why Category III codes matter, how CPT Panel actions influence future reimbursement pathways, and what ophthalmology practices should be watching now to prepare for future operational and documentation changes. Contact us by calling (800) 399-6565 or visiting CorcoranCCG. [https://corcoranccg.com/]

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