• 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 99391

Create Wiki
L

lynnefolz

New
Messages
1
Best answers
0
Does anyone have the guidelines or any information on whether the eye and vision exam are included in the well exam or if they can be billed separately. We are getting conflicting information....
thanks, Lynne
 
As far as I know, they should be bundled into the 99391. But if it's a pediatric patient for Medicaid, it could be different depending on the state you are working in. Who's giving the conflicting information?
 
lynnefolz said:
Does anyone have the guidelines or any information on whether the eye and vision exam are included in the well exam or if they can be billed separately. We are getting conflicting information....
thanks, Lynne
Click to expand...

Reading through the guidelines for the PMS codes I can understand the confusion, especially as related to the eye and vision codes. I too believe that the insurance carrier will be the definitive source for billing. If they don't have an answer, then unless the exam requires more detail than would normally be attributed to an exam, the eye and vision would be considered a component of your PMS code.
 
You must log in or register to reply here.
Top