FOPC™ – Fellowship in Ophthalmology Coding The FOPC™ – Fellowship in Ophthalmology Coding is an advanced specialty training program designed to build expertise in Ophthalmology Medical Coding, CPT® Eye and Ocular Surgery Procedures, and compliance-focused reimbursement practices for ophthalmology clinics and surgical centers.

Ophthalmology coding requires deep understanding of Eye visit codes vs E/M services, ocular diagnostic testing, surgical global periods, and strict documentation standards. The FOPC™ Fellowship provides structured, case-based training to help professionals master complex coding scenarios in medical and surgical ophthalmology.

This fellowship covers:

Accurate application of Ophthalmology CPT® Codes (92002–92499)

Differentiation between Eye Codes and E/M Codes

Coding for Cataract Surgery, Glaucoma Procedures, and Retinal Surgeries

Proper use of Modifiers (24, 25, 57, 79, RT/LT) in ophthalmology services

Understanding Laterality and Bilateral Surgery Rules

Compliance with Global Surgical Package guidelines

Coding for Diagnostic Tests such as OCT, Visual Fields, and Fundus Photography

Documentation validation for medical necessity and audit readiness

Preventing overcoding, unbundling errors, and NCCI edit violations

The FOPC™ – Fellowship in Ophthalmology Coding goes beyond basic CPT assignment and focuses on documentation defensibility, compliance integrity, and specialty revenue optimization.

This program is ideal for:

Ophthalmology Medical Coders

ASC and Surgical Coding Professionals

Revenue Cycle Analysts

Coding Auditors

Specialty Practice Managers

With increasing scrutiny on surgical documentation, modifier usage, and diagnostic test justification, advanced ophthalmology coding knowledge is essential to ensure compliance and protect reimbursement.

The FOPC™ Fellowship by PMBAUSA LLC prepares professionals to handle complex ophthalmic procedures, interpret operative reports accurately, and support high-quality, audit-ready coding practices in specialty eye care environments.

This fellowship serves as a strategic pathway for coders who wish to specialize in Ophthalmology Coding, surgical compliance, and precision reimbursement systems.

Course Objectives

The objective of the FOPC™ – Fellowship in Ophthalmology Coding is to develop advanced expertise in Ophthalmology Medical Coding, surgical documentation analysis, and specialty reimbursement compliance.

By the end of this fellowship, participants will be able to:

  • Interpret and apply Ophthalmology CPT® codes (92002–92499) accurately

  • Differentiate between Eye Visit Codes and E/M Services appropriately

  • Assign correct ICD-10-CM diagnosis codes with laterality specificity

  • Code complex procedures including Cataract Surgery, Glaucoma Surgery, and Retinal Procedures

  • Apply proper CPT® Modifiers (24, 25, 57, 79, RT, LT) in ophthalmology scenarios

  • Understand and implement Global Surgical Package rules

  • Code ophthalmic Diagnostic Tests (OCT, Visual Fields, Fundus Photography) correctly

  • Ensure compliance with NCCI Edits and bundling regulations

  • Validate documentation for medical necessity and audit defensibility

  • Prevent common ophthalmology coding errors including overcoding and improper unbundling

  • Analyze operative reports for accurate surgical code assignment

  • Strengthen compliance readiness in specialty eye care practices

This fellowship is designed to elevate professionals into Ophthalmology Coding Specialists with strong surgical, diagnostic, and compliance proficiency.

Table of Contents

CPT Coding

Anterior Chamber Procedures (CPT® 65800–66030)

CPT® codes 65800–66030 are used to report surgical and laser procedures performed in the anterior chamber of the eye. These procedures address diseases and abnormalities affecting the fluid-filled space between the cornea and the iris, which plays a crucial role in intraocular pressure regulation and visual function.

Accurate coding in this section requires:

  • Strong anatomic knowledge of the anterior segment

  • Clear understanding of disease processes affecting the anterior chamber

  • Proper application of the “separate procedure” concept

Anterior Chamber

The anterior chamber is part of the anterior segment and includes:

  • Aqueous humor

  • Iris surface

  • Angle structures

  • Adjacent corneal and iris interfaces

Diseases affecting this space often involve:

  • Adhesions (synechiae)

  • Inflammatory debris

  • Abnormal aqueous flow

  • Secondary glaucoma-related pathology

Examples of Incision procedures include 65800 for paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous, and 65820 for goniotomy. The purpose of a goniotomy is to clear the obstruction to aqueous outflow from the eye, which in turn lowers the intraocular pressure (IOP).

Examples of Removal procedures include 65900 for removal of epithelial downgrowth, anterior chamber of eye and 65930 for removal of blood clot, anterior segment of eye.

Examples of Introduction procedures include 66020 for injection, anterior chamber of eye (separate procedure); air or liquid. Report 66030 for injection, anterior chamber of eye (separate procedure); medication.

Posterior Segment

Ocular Adnexa (67311-67999)

Frequently Asked Questions

When does the course start and finish?
This course is completely self-paced, so you can begin at any time and set your own pace.
How do I access the course?
Once you sign up, you will receive an email invitation to join the course. You can access the course from any device with a live Internet connection. The course will work on a desktop, laptop, tablet, and smartphone.
What are the advantages of taking this course online?
Online courses provide unparalleled convenience and flexibility. You can take the course anytime and anywhere, on any device you own.
How do I ask questions?
You can email your instructor directly or utilize the course discussion board.

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