Part 5 Filing 3 rd Party Claims. Addressing: CPT Code Modifiers and When to Use Them. Disclaimers. This information was prepared by the 3rd Party Consultant to the Nebraska Optometric Association, Ed Schneider OD.
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Part 5Filing 3rd Party Claims
CPT Code Modifiers and When to Use Them
This information was prepared by the 3rd Party Consultant to the Nebraska Optometric Association, Ed Schneider OD.
To the best of his knowledge, it was current and accurate at the time it was prepared. It is not guaranteed to be error or omission free.
It was prepared as general information to assist doctors and staff, and is not intended to grant rights or impose obligations.
• The ultimate responsibility for the correct submission of claims and compliance with provider contracts lies with the provider of services.
• The Nebraska Optometric Association, and its presenters, agents, consultants and staff makeno representation, warranty, or guarantee that this presentation and/or its contents are error-free or omission-free, and will bear no responsibility or liability for the results or consequences of the information contained herein.
BOTTOM CMS-1500 Service & Materials Supplied
Some codes can be broken down into aprofessional component and a technical component
OD and OMD codes that qualify
Sensorimotor Exam 92060TC
Visual Fields 92081,2,3TC
Scanning Laser 92135TC
Fundus Photos 92250TC
Color Vision 92283TC
Dark Adaptation 92284TC
External Photography 92285TC
65222 1 $ 1
65222 51 1 3x$ 3
65222 1 4x $ 4
Reimbursement: 100%, 50%, 25%, 25% …
Date assumed care; date relinquished care
01012009 68984 RT 55 2
Date of surgery
release date of 03/11 printed in lower left hand corner
We hope this information has been helpful.
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Nebraska Optometric Association