zwomack
New
I am fairly new at coding for ophthalmology department and I am having an issue with the code 92136 ophthalmic biometry by partial coherence interferomety with intraocular lens power calculation. My confusion is two fold 1.) our provider is billing the 92136 1 unit w/dx of 366.16, then on the next line item is 92136-26 modifer 50 with the 366.16 as the dx code. I believe on the 2nd line item (92136-26) the 26 at the end of the code was placed in our system as a "in house" code and that it should be the modifer 26 to go with the 50 modifer. The 2nd line item 9213626 50 is being denied by MC as a CO-4 2). in the march 2009 coding edge, the article seems to state that this should be billed as 92136 tc RT & LT eye and then as 92136 PC RT LT eye. 3) the cpt and the coding companion doesn't state that this code is unilateral or bilateral. Which is the correct way for this code to be billed.
ZWomack
coding compliance coord.
ZWomack
coding compliance coord.