Wiki IVFA and Fundus Photo's ?

[cpccoder2008]

Medicare is denying 92235-26 & 92250-26 stating we need a reffering physician. We do the billing for only the physician's therefore we are adding -26 but we are still receiving denials. We are trying to contact our Medicare Rep right now but just wanted some feedback from for fellow coders on this issue ???

 

[LLovett]

So the doctor reading is the one who ordered the testing? If that is the case you may need to enter that provider in both the rendering and referring boxes on the claim form.

Laura, CPC

 

[cpccoder2008]

Yes, they are the same.