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Two visits same day different subspecialities

  1. #1
    Default Two visits same day different subspecialities
    Medical Coding Books
    Does anyone know if Medicare recognizes Glaucoma and Retinal as separate subspecialiteis? Here is the situation, out of town patient was seen for a diabetes and glaucoma check and the provider noticed what could be a detached retina. The patient was then seen same day by the retinal provider. One provier coded a 92012-25 and the second provider coded a 92014 for the retinal issue. I can only find where it addresses separate specialities but not separate subspecialities for same day billing. Can anyone help?

  2. Default
    There are no recognized subspecialties in ophthalmology. Sub-specialty fellowship training doesn't change your specialty code because ophthalmology fellowships are not accredited, that's how come you can be a "Fellow" and are not still a resident while doing sub-specialty training.

    So....both doctors, same practice, same group, same tax ID number, no. Both will not get paid.

    What was the 25 modifier for?

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