1 / 26

Coding for Dry Eyes

Coding for Dry Eyes. Coding for Dry Eyes. 92285 External ocular photography, documentation of medical progress ( eg , close-up photography, slit lamp photography, goniophotography , stereo-photography). External ocular photography . Indications, Diagnosis Codes, Frequency Medicare LCD

dylan-jimenez
Download Presentation

Coding for Dry Eyes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Coding for Dry Eyes

  2. Coding for Dry Eyes 92285External ocular photography, documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography)

  3. External ocular photography Indications, Diagnosis Codes, Frequency Medicare LCD Noridian: No CGS: Yes WPS: No Novitas: No Palmetto: No

  4. External ocular photography Indications, Diagnosis Codes, Frequency Non-Medicare Every plan has own rules Clinical judgment May follow Medicare

  5. External ocular photography Unilateral / Bilateral CPT: Silent Medicare: Bilateral, Payment same whether one or both eyes Non-Medicare: No universal rule, may follow Medicare

  6. External ocular photography CCI 92020 (-59 ok) 99211 (-59 ok)

  7. External ocular photography Interpretation and report Yes Doctor Order Yes Supervision Level General

  8. Coding for Dry Eyes Lab 83861Microfluidic analysis $23.58 (WA) TearLab Osmolarity System www.tearlab.com Waived test Must have certificate of waiver

  9. Coding for Dry Eyes Lab Certificate of Waiver $150 for 2 yr (WA) Medicare co-payments & deductibles do not apply

  10. Coding for Dry Eyes Lab Touch Scientific Lactoferrin MicroAssay System by Corneal Science Moderate complexity test License $450 per 2 year + training

  11. Coding for Dry Eyes Punctum Plugs 68761 Closure of the lacrimal punctum; by plug, each -Bill same for all types (Herrick, SmartPlug), all materials (collagen, silicone, etc). -Supply of plug bundled by Medicare; non-Medicare may pay.

  12. Punctum Plugs Indications, Diagnosis Codes, Frequency Medicare LCD Noridian: No CGS: No WPS:No Novitas: Yes Palmetto: No

  13. Punctum Plugs Indications, Diagnosis Codes, Frequency Non-Medicare Every plan has own rules Clinical judgment May follow Medicare

  14. Punctum Plugs Surgical Report Not a coding requirement, for Medical-Legal. Pre-printed form with check boxes. Sample upon request.

  15. Punctum Plugs Unilateral / Bilateral Medicare & Non-Medicare: Payment is per puncta, not per eye.

  16. Punctum Plugs CCI 68761 + 68440 (-59 ok) (Snip incision of lacrimal punctum) 68801 (-59 ok) (Dilate punctum) 68810 (-59 ok) (Probe nasolacrimal duct)

  17. Punctum Plugs Doctor Order No Supervision Level Does not apply

  18. Punctum Plugs Modifiers 4 Plugs 68761-E1 left upper lid 68761-E2-51 left lower lid 68761-E3-51 right upper lid 68761-E4-51 right lower lid

  19. Punctum Plugs Modifiers 2 Plugs 68761-E1 left upper lid 68761-E3-51 right upper lid 51 = Multiple procedures

  20. Punctum Plugs Consent Form -Not a coding requirement. -Medical-Legal document. -Optional, unless liability insurer requires.

  21. Punctum Plugs Global Period Medicare 10 days, follow-up visit paid after 10th day post-op. Non-Medicare Varies, 0 to 15 days.

  22. Punctum Plugs Payment -100% of 1st procedure, 50% of subsequent procedures. -Important: bill 100% of U&C for all procedures.

  23. Punctum Plugs Great billing summary: Lacrimedics.com

  24. Coding for Dry Eyes LipiFlow Paul Jensen OD, Renton/Bellevue

  25. Coding for Dry Eyes Meibomian Probe

  26. Ocular Side Effects file://localhost/Users/alanhomestead/Documents/My Documents B 3-8-13/Adventures 11-3-12/O - S/Presentations/Repository of My PowerPoints/1 Topic Modules/Ocular SE Sys Med/Oc SE Aug 13.ppt

More Related