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Thread: Billing 92015

  1. #1

    Default Billing 92015

    AAPC: Back to School
    I'm billing 92015 with 92014 and have been told by Medicare that it doesn't cover 92015. Any ideas on how to do this properly? Thanks!

  2. #2
    Join Date
    Apr 2007


    They don't cover it, if it was done it will be patient responsiblity.

    Laura, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    Do you know where I can find a fee schedule for 92015. We need to put a price in our system and I cant seem to find this.

    Thank you
    Darla itchell

  4. #4
    Join Date
    Apr 2007
    Fullerton/Buena Park, CA


    When billing 92015 with 92014 make sure you append HCPCS modifier -GY which states this item/service is statutorily excluded and on you MCR RA will show pt responsible for this service. This also allows you to bill the 2nd ins. You DO NOT have to have the patient sign an ABN form.

    I have had some offices charge anywhere from $40 - $80. We also let the pt know on the phone that this is not a medicare covered service and it's there responsibility to pay it at time of service. If the patient has a medical diagnosis (glaucoma, diabete, macular degen.), the 2ndary insurance may pay part of the refractions. You'd have to call for benefits.
    Jennifer DeWitte, CPC, CPC-P, CPB
    Newport Center Surgical
    Coding & Billing Department

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