Wiki New to Optometry Billing

[Michael Palmieri]

Hello, an optometrist in my area is looking to outsource his billing to my company. Our background is with medical doctors and specialties such as oncology, cardiology and infectious disease. Anyone can tell me if billing for eye doctors is tremendously different, more difficult and the different vision plans out there? Appreciate it.

 

[pljames]

Eye doctors are a little different as they can use eye codes. 92002 92004 92012 92014 or E/M codes. I assume he would give you this information. Some of the testing will require a 59 modifier if they do above and beyond the test requirements that are already inclusive to the Eye Codes. Anyone with vision coverage will need the primary diagnosis to reflect a refractive code, otherwise it is medical and should be submitted to the medical insurance. Hope this helps. Patti James, CPC Helena Eye Clinic