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medical vs. vision

  1. Default medical vs. vision
    Exam Training Packages
    Can anyone tell me if I can bill both medical and vision on a single office visit?

  2. #2
    Location
    Lexington Kentucky Chapter
    Posts
    105
    Default
    I believe that you can only if there are two different specialties involved (ie. optometrist sees the patient for routine vision care and refers them to a retinal specialist for a detached retina.)

  3. #3
    Default
    Ophthalmology uses both e/m codes & vision codes. You can only use either e/m code or vision code to bill. you can bill refraction (92015) w/ either set of codes if it's performed. Usually optometrist use the vision codes because these are widely used w/ vision insurances. Ophthalmology uses both because they can bill both vision & medical insurances.
    Jennifer DeWitte, CPC, CPC-P, CPB, AAPC Fellow
    Newport Center Surgical
    Coding & Billing Department
    Vice President
    AAPC Fullerton, CA Chapter

  4. Default
    Our office does retinal and anterior seg photos, and I have billed those medically with a medical dx on the same claim as a routine exam with a routine dx. The key is the insurance.

  5. Default AAPC member
    I think the provider can not bill two insurances ( Medi-Cal and VSP ) for a single visit because Medi-Cal vision coverage is through VSP.

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