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dilated fundus exams

  1. #1
    Default dilated fundus exams
    Medical Coding Books
    What in the note indicates a dilated fundus exam if the physician does not use the word "dilated"? Can you bill a comprehensive eye code if the word "dilated" is not used? I am looking for a resource that I can reference the rules of documentation for Ophthalmology. Thanks!

  2. #2
    Look for a notation about mydriatic drops. Most ophthalmologists will write what % drop was used and what time.

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