Optometry Coding & Billing Alert
Check CCI Bundles With A-Scans
PDF
Question: Can I code both the A-scan (76519) and corneal topography (92025) together if we have qualifying diagnoses for both conditions? Kansas Subscriber Answer: Yes. You can separately report an A-scan and corneal topography your optometrist performs during the same session when the documented diagnoses support medical necessity for both services. You should use 76519 (Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation) for the A-scan and 92025 (Computerized corneal topography, unilateral or bilateral, with interpretation and report) for the corneal topography as you suggest. Bottom line: There are no Correct Coding Initiative (CCI) bundling issues associated with these two codes, so you should report both. And you shouldn't have to use modifiers to get both codes paid.
Optometry Coding & Billing Alert
- News You Can Use:
Focus on Specifics With New ICD-9 Codes for Retinopathy of Prematurity
Proposed diagnosis codes would break down ROP by stages Good news for optometrists seeing patients [...] - End 'Medical vs. Vision' Insurance Confusion
When your patient has both types of insurance, who gets the bill? A patient presents [...] - Are You Within the National E/M 'Bell Curve'? Find Out
Audit alert: If your billing pattern differs too much from Medicare statistics, you could be [...] - You Be the Expert:
Split Postoperative Cataract Care
Question: An ophthalmic surgeon performs cataract surgery, and then turns the patients over to the [...] - Build a Better Business:
New Software Can Solve Medicare Secondary-Payer Woes
Good starting point: Turn to a clearinghouse for help If you-re wrangling with your carrier [...] - Reader Questions:
Add Modifier 52 for Unilateral VF
Question: I-m confused about coding for visual fields (VF). The code description says "unilateral or [...] - Reader Questions:
Beware Reporting Fundus Photos With HRT
Question: Can I report a fundus photo and a Heidelberg retina tomograph (HRT) on the [...] - Reader Questions:
Check CCI Bundles With A-Scans
Question: Can I code both the A-scan (76519) and corneal topography (92025) together if we [...] - Reader Questions:
Include V58.69 on Plaquenil Checks
Question: A patient taking Plaquenil for her arthritis needs to have her eyes monitored to [...] - Reader Questions:
Don't Expect to Get Paid on 99050
Question: Where can I find the allowed charge amount for after-hours appointment code 99050? I [...] - Reader Questions:
Dig Into Dry Eye Diagnoses
Question: Should I report a dry eye diagnosis code based on my clinical findings or [...]