Optometry Coding & Billing Alert

You Be the Expert:

Look for Long-Standing Strabismus Case Code

Question: Another OD referred a new patient with long-standing strabismus to us. How should I code this visit?

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Answer: Because another doctor referred this patient to you, code an office or other outpatient consultation code (99241-99245).

For long-standing strabismus, you-ll most likely meet the requirements for 99243 (Office consultation for a new or established patient, which requires these three components: a detailed history; a detailed examination; and medical decision-making of low complexity -).

If you also perform a sensorimotor exam, be sure to report it separately with 92060 (Sensorimotor examination with multiple measurements of ocular deviation with interpretation and report [separate procedure]). If you use this code, you are also required to complete a separate interpretation and report.

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