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Thread: Eye single-system exam guidelines

  1. #1
    Join Date
    Apr 2007
    Palo Alto

    Default Eye single-system exam guidelines

    AAPC: Back to School
    I was wondering if anyone could help me with a question I have regarding the eye-exam. Are the bullet points for ophthalmoscopic exam (optic discs, nerve fiber layer) and posterior segments including retina and vessels countable if they are done without dilation?
    I have spoken to my eye providers and they have indicated the optic discs and retina are visible without dilation.

    Are these to elements countable?

    Ashli Pickerill, CPC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Guidelines

    NOT my area of expertise ... BUT

    Since the 1997 Eye Examination Single System guidelines indicate: Ophthalmoscopic exam through dilated pupils (unless contraindicated) of ... (emphasis added by FTB)
    It seems that the guidelines are allowing for these bullet points to be counted even when the pupils are not dilated.

    F Tessa Bartels, CPC, CEMC

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