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Wiki Refraction

rklub

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Roswell, GA
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I just spoke with a rep at State Health for a State Health Medicare patient - she told me that they will cover refraction with another code other than 92015. Does anyone know what this code is?
 
refractions

I don't know of any other procedure code that you could bill for an eye refraction, however, many plans don't cover eye refractions for routine purposes.
If the patient has a medical condition that this service is medically necessary like diabetes, then you would want to use a diagnostic dx code.
 
You may take a look at ICD-9 CM code 367.9 Unspecified disorder of refraction and accommodation. To be more specified look at section 367 Disorders of refraction and accommodation.
 
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