Optometry Coding & Billing Alert
Associated Diagnoses
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Medicare covers IOL calculation procedures for patients about to undergo cataract surgery. But just listing 366.x (Cataract) as your diagnosis code is likely to get your claim rejected.
Below is a list of specific ICD-9 codes that most carriers recognize as demonstrating medical necessity for both 76519 (Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation) and 92136 (Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation):
Be sure to check with your own local carrier for specific coverage rules.
Optometry Coding & Billing Alert
- Pre-Cataract Surgery Tests:
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