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Two visits by different sub-specialities

  1. #1
    Location
    Albuquerque
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    Default Two visits by different sub-specialities
    Medical Coding Books
    Does anyone know if Medicare recognizes Glaucoma and Retina MD's a subspecialtiy? Here's the issue patient came in from out of town over a 5 hour drive each way. Was seen by the Glaucoma eye specialist who determined a possible detached retina. The pateint was then referred to the Retinal specialist with in the same practice for a visit. One provider coded a 92012-25 and the second provider coded a 92014 is this a billable service? Both are eye providers.

  2. #2
    Location
    Tacoma, WA
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    1,087
    Default
    Quote Originally Posted by drgold View Post
    Does anyone know if Medicare recognizes Glaucoma and Retina MD's a subspecialtiy? Here's the issue patient came in from out of town over a 5 hour drive each way. Was seen by the Glaucoma eye specialist who determined a possible detached retina. The pateint was then referred to the Retinal specialist with in the same practice for a visit. One provider coded a 92012-25 and the second provider coded a 92014 is this a billable service? Both are eye providers.
    Is there a different taxonomy code for each type of specialist? If so, that would indicate recognition of the separate specialties. I would bill for the service and see what happens, especially since there were two separate issues being addressed.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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