• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 99215

Create Wiki
B

bschase

Guest
Messages
6
Location
Omaha, NE
Best answers
0
Does anyone know of what would justify a 99215 in Ophthalmology? Blindness, macular degeneration?

Thanks for the help!
 
I think you might be on thin ice using time for 99215.

The level 5 codes for ophthalmology are best used for sudden sight threatening problems a patient develops such as retinal detachment, sudden loss of vision, central retinal artery or vein occlusion etc.

I wouold only use the 99215 code for the initial visit when the patient presents with the problem and then use the appropriate 99xxx oe 92xxx codes for follow up visits.

Tom Cheezum, O.D., CPC
 
In regards to time based billing I'm sure it's possible the MD/OD could spend more than 50% on counseling and care coordination but I assume it would be rare compared to other areas of medicine.

avon4117 said:
Wouldn't the initial visit be 99201-99205?
Click to expand...

Depends if its an established patient but you are correct 99205 if new patient
 
Last edited:
Since bschase asked about the 99215, I assumed this was an established patient. If a new patient, then the 99205 would be appropriate for the severe conditions I mentioned previously.

Tom Cheezum, O.D., CPC
 
You must log in or register to reply here.
Top