Results 1 to 5 of 5

Visual Field Testing

  1. #1
    Chicopee, Massachusetts
    Default Visual Field Testing
    Medical Coding Books
    I have a question regarding visual field testing. There is a provider who employs a technician. This technician is doing the visual field testing for the provider and it is being billed out incident-to with the global fee because the provider owns the equipment. The visual field tests are said to only require "general supervision". The catch is that the provider is out of the country when these tests are being done, I wouldn't consider this general supervision. Does anyone have any information that could assist with this?

  2. #2
    Per Medicare
    "General supervision means the procedure is furnished under the physician's overall direction and control, but the physician's presence is not required during the performance of the procedure. Under general supervision, the training of the nonphysician personnel who actually performs the diagnostic procedure and the maintenance of the necessary equipment and supplies are the continuing responsibility of the physician."

    There is no global associate w/ visual field testing. I say he would need at least need to be the country (like if they go to AAO or ASCRS) and readily available for consultation if needed. I would bill the testing part 92081-TC and then 92081-26 once he interprets the test.
    adrianne, cpc

  3. Default Visual Field Testing
    There is no need to add any modifiers to the visual field test if the physician owns the equipment unless it is a requirement of the insurance carrier's clean claim filing requirement.

  4. #4
    essentially yes, but if he isn't there to perform the entire procedure then you should only bill what was done. What if he's out of the country for a month and forget to intrepret the test? Then you are getting paid for part of the procedure that he didn't do.
    adrianne, cpc

  5. Default
    I agree, you should code only what is being done. If the tech is the one doing the test then bill the techincal component. Then once the doctor has dictated the visual field, you should bill the professional component.

Similar Threads

  1. Visual Field
    By in forum Ophthalmology/Optometry
    Replies: 1
    Last Post: 06-17-2014, 12:16 PM
  2. Repeat Visual field testing
    By tmr1965 in forum Ophthalmology/Optometry
    Replies: 0
    Last Post: 01-31-2014, 07:41 AM
  3. Visual field testing
    By reneemo121 in forum Ophthalmology/Optometry
    Replies: 2
    Last Post: 10-24-2012, 09:01 AM
  4. visual field
    By jlaw in forum Ophthalmology/Optometry
    Replies: 1
    Last Post: 05-27-2011, 02:21 PM
  5. Visual Field Defect
    By coderguy1939 in forum Diagnosis Coding
    Replies: 1
    Last Post: 05-15-2009, 01:42 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.