Ophthalmology and Optometry Coding Alert

Question: Where can I go to look up Medicare carriers' local coverage determinations? Also, is there an easy way to search a particular coverage topic on the Medicare site?


Georgia Subscriber


Answer: You should first try your individual carrier's Web site, but if you're looking for a quick reference to search and compare policies among multiple carriers, go to the Medicare coverage database, www.cms.hhs.gov/mcd/search.asp?.
 
The page walks you through several steps to meet your goal. First, select whether you're looking for a national or a local coverage determination. If you choose local, you can search for articles and policies. Just check the boxes that apply.

Next, select a state or a contractor from the list provided. Then, scroll down and check off how you'd like to do your search. You can search by keyword, ICD-9 code, CPT/HCPCS code, coverage topic, and effective dates.

After you've typed in your criteria, click "search now" and wait for the results to pop up. Advice for You Be the Coder and Reader Questions provided by Maggie M. Mac, CMM, CPC, CMSCS, consulting manager for Pershing, Yoakley & Associates, Clearwater, Fla; and Raequell Duran, CPC, president of Practice Solutions, Santa Barbara, Calif.