Ophthalmology and Optometry Coding Alert

Extended Ophthalmoscopy:

92225-92226 Claims Success Relies on Solid Documentation

Learn what distinguishes EO from the standard ophthalmoscopy included in most eye exams. Was the ophthalmoscopy your ophthalmologist performed on his last patient just a standard part of a regular eye exam, or was it an extended ophthalmoscopy (EO) that took extra effort -- and deserves extra payment? Most eye exams include some form of ophthalmoscopy, but payers often bundle this service into general ophthalmic exam, or E/M codes. So how do you know when the exam warrants an EO code? You'll have to rely on detailed documentation to prove medical necessity and capitalize on the more complicated service Read on to make sure you're not missing out on EOs you could rightfully report. Know When to Take Coding to the Next Level Any general ophthalmic examination will include a routine ophthalmoscopy. But an extended ophthalmoscopy is a special ophthalmologic service that goes beyond the general eye exam. Caution: The general [...]
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