Ophthalmology and Optometry Coding Alert

Diagnostic Tests:

Extended Ophthalmoscopy Claims Depend on Documentation, Proper Bilateral Billing

Tip: Don’t assume both eyes have the same diagnosis. Coding experts agree that extended ophthalmoscopy claims are among the most heavily audited. Most eye exams will include some sort of ophthalmoscopy, but payers are prone to consider them part of the general ophthalmic exam or E/M code. There are cases, though, where you’re justified in reporting EO separately. Our experts [...]
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