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Wiki Vision screenings in pediatric practice

TNAHLIK

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Hello all..... I'm new to peds so bear with me.
My office is using code 99173 for vision screenings. When I look this up, it states that a Snellen chart is used for this screening. We are not using a Snellen chart, we use a hand held Plusoptix 12 vision screener that screens for myopia, hyperopia, astigmatism, strabismus, anisometropia, anisocoria and opacities. The website for this device states that it meets coding standards for 99177, and from what I've seen it's more likely to get paid at a well child visit than a 99173. These are the definitions of each pulled from AAPC website:

99173-The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from the patient.
99177-The provider uses instruments to conduct a vision screening exam to analyze both eyes to diagnose ocular or eye–related diseases. Both the screening and analysis take place on–site.

What are the pros/cons of 99173 vs 99177. To me, the 99177 would be the more accurate code to use. But as I said, I'm new to peds (I've been in ophthalmology, so go figure!)

Thanks in advance for the help!
 
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