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Wiki 92250- retina scans

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01085585

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Hello all! I have a question :)

We are a medium size medical center (family practice) We have purchased the equipment and provide the retina scan services for our patients. We do not read the scans- but an optometrist from another facility reads them. Am I correct in saying that we should bill 92250-TC since we are only providing the equipment and the eye dr would bill 92250-26 for his portion?

The other part of my question- If we credential the optometrist with us can we can bill for both the professional and technical component ? If so then the optometrist would not bill for the professional component since we would be. we would just pay him a set amount per read. Any thoughts on this? I just want to make sure we are doing this correctly. If we credential him as a contractual employee then we could bill the whole thing. 92250 with out any modifier? Thanks!
 
Yes, bill 92250-TC for part one of your question

Yes, go ahead and bill global for the scenario listed in part two of your question

Also, I don't know exactly what machine you have, but we are allowed to also bill 92285-TC-51 for our JVN device

Don't forget to append a 59/XU if an exam was also done

Example: 92012, 92015, 92250-TC-59 (plus maybe 92285-TC-51, depending)
 
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