Ophthalmology and Optometry Coding Alert

Reader Question:

Nursing Home Patient -- Eye or E/M Code?

Question: I visited a patient who was in a nursing home. Should I use an eye exam code or a nursing facility service E/M code? Hawaii Subscriber Answer: You're on the right track that you can report only one of these codes, not both. The Correct Coding Initiative (CCI) bundles eye exam codes 92002-92014 (Ophthalmological services: medical examination and evaluation with initiation or continuation of diagnostic and treatment program ...) into 99307-99310 (Subsequent nursing facility care, per day, for the evaluation and management of a patient ...), 99324-99328 (Domiciliary or rest home visit for the evaluation and management of a new patient ...) and 99334-99337 (Domiciliary or rest home visit for the evaluation and management of an established patient ...). These bundles have a modifier indicator of "0," meaning you cannot report the bundled codes separately under any circumstances. Best bet: Experts recommend coding an intermediate eye exam (92002 for [...]
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