OptiCodeOptometry & Ophthalmology Coding Made Simple
Specialized coding tool built exclusively for eye care practices. Reduce billing errors, save time, and maximize reimbursements with intelligent automation.
Everything You Need for Accurate Eye Care Coding
Powered by cutting-edge technology
Code Bundling Checker
Verify bundling for up to 20 codes with a single click. Prevent costly bundling and unbundling errors specific to eye care.
Fast Code Lookup
Quick access to optometry and ophthalmology CPT and ICD-10 codes. All reference info consolidated on one page.
Modifier Guidance
Eye care-specific modifier guidance including -LT, -RT, -E1-E4. Reduce claim rejections and resubmissions.
See It In Action
Visual preview of OptiCode's powerful features
OptiScrub Engine™
Validate claims before submission with intelligent error detection. Enter diagnosis codes, CPT codes, and modifiers - the system instantly analyzes NCCI bundling violations, laterality requirements, modifier compliance, and payer-specific rules to catch errors before they result in denials.
Whether you're validating a single claim manually or processing hundreds through batch upload, OptiScrub Engine provides instant feedback with color-coded Clean/Needs Review badges, detailed error explanations, and specific recommendations to fix issues.
- Manual scrubber for individual claim building and validation
- Batch file upload supporting EDI 837P and CSV formats
- Real-time validation with actionable error messages
- Vision vs Medical insurance logic with specialized rules
- Diagnosis pointer tracking and E/M medical necessity checks
OptiBundle Engine™
Compare up to five CPT codes simultaneously to check bundling rules and modifier requirements. Instantly see which codes can be billed together and what modifiers are needed to prevent denials.
- Live search with autocomplete suggestions
- NCCI bundling edits specific to eye care
- Modifier recommendations and warnings
OptiLink Engine™
Discover intelligent code relationships and crosswalks across ICD-9, ICD-10, CPT, HCPCS, and modifiers with powerful search capabilities. Enter any diagnosis code, procedure code, or clinical keyword - like "glaucoma," "92014," or "E11.9" - and instantly see bidirectional mappings showing which procedures are appropriate for specific diagnoses and vice versa.
OptiLink Engine organizes results into three categories: Code Crosswalks for converting between code sets, Code Alternatives for finding equivalent or related billing codes, and Clinical Links that reveal diagnosis-to-procedure relationships specific to eye care. Perfect for validating code pairings, exploring billing options for complex cases, and ensuring medical necessity alignment.
- Search by diagnosis codes, procedure codes, or clinical keywords
- ICD-9 to ICD-10 code conversions with clinical context
- Diagnosis-to-procedure mappings for eye care conditions
- Procedure-to-diagnosis suggestions showing valid medical necessity
- Quick-try examples for glaucoma, diabetes, cataracts, and more
Resource Hub
Your central repository for essential billing information organized into easy-to-navigate tabs. Search across NCCI edits, Medicare fees, MUE limits, LCD/NCD policies, OPPS/ASC rates, AWP/lab fees, modifiers, CPT/ICD codes, appeal guides, CNOF guidance, and denial codes all from one unified interface.
Access detailed billing guides for specialty procedures like TearLab osmolarity testing, Botox injections, OCT imaging, fundus photography, and more. Each guide includes CPT codes, diagnosis requirements, modifier rules, payer-specific instructions, and common denial prevention tips.
- Complete NCCI bundling database with 64,000+ edits
- Medicare fee schedules and MUE limit references
- Specialty procedure guides (TearLab, Botox, OCT, A-Scan, more)
- Appeal letter templates and CARC/RARC denial code lookup
- Medicare and private payer coding checklists
- Searchable across all resources with instant results
Why Eye Care Practices Choose OptiCode
Save Money
Reduce claim rejections and costly resubmissions
Save Time
Streamline workflow with eye care-focused tools
Maximize Income
Ensure accurate coding for proper payment collection
Simple, Affordable Pricing
Choose the billing cycle that works best for your practice
Private Practices: One annual subscription unlocks team collaboration for your entire practice.
RCM/Billing Companies: Each biller requires their own individual subscription for security and compliance.
Monthly
- Complete optometry & ophthalmology code database
- Unlimited bundling checks
- Manual scrubber
- Eye care-specific modifier guidance
- Private notes & annotations
- Regular code updates
- Email support
Cancel anytime
Annual
- Complete optometry & ophthalmology code database
- Unlimited bundling checks
- Manual scrubber
- Batch scrubber
- Eye care-specific modifier guidance
- Private notes & annotations
- Regular code updates
- Priority email support
- Team collaboration (Private Practices)
- Shared templates & notes (Private Practices)
Best value - save $45 annually
Start with a 5-day free trial, then choose your plan. All plans include a 30-day money-back guarantee.
Ready to Streamline Your Eye Care Coding?
Join thousands of optometry and ophthalmology practices using OptiCode