Neurology & Pain Management Coding Alert
Make the Choice for Visual Field Tests
Question: Can you tell me which codes we should choose from for visual evaluations and visual field testing? Are there certain things I need to remember when coding the procedures? New Hampshire Subscriber Answer: CPT includes three codes for visual evaluations and visual field tests: 92081 " Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (e.g., tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent) 92082 " ... intermediate examination (e.g., at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshold screening program, Humphrey suprathreshold automatic diagnostic test, Octopus program 33) 92083 " ... extended examination (e.g., Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30 degree, or quantitative, automated threshold perimetry, Octopus program G-1, 32, or 42, Humphrey visual field analyzer full threshold programs 30-2, 24-2, or 30/60-2. Base your coding on the extent of examination and testing. Each code includes both technical and professional components. If your provider performs the testing in a facility and doesn't own the testing equipment, append modifier 26 (Professional component) to the CPT code. Another tip:
Neurology & Pain Management Coding Alert
- Diagnosis Coding:
Focus on 3 Questions When Coding Frequent Falls
Double check notes before falling for easy answers.The neurologist wrote "frequent falls" on a patient's [...] - Help Your Patients Avoid Falls
The Joint Commission (the accrediting agency formerly known as JCAHO), launched a falls prevention education [...] - Pain Management:
Levels Outweigh Frequency When Coding Interlaminar Epidural Injections
Tip: Yes, you can code separately for fluoro guidance.Neurologists and pain management specialists frequently perform [...] - Reimbursement:
Timely Filing Keeps Payments Coming In
With the Medicare deadline cut from three years to one, using a chart can help.As [...] - You Be the Coder:
Make the Choice for Visual Field Tests
Question: Can you tell me which codes we should choose from for visual evaluations and [...] - Reader Questions:
Blink Test Diagnosis Depends on Perceived Problem
Question:What diagnoses can we use to support medical necessity for a blink test? Arizona Subscriber [...] - Reader Questions:
Watch Bilaterals and Limits on 20550 With 64450
Question:Medicare denies our claims with codes CPT 20550 and 64450, stating that the [...] - Reader Questions:
Navigate Modifiers for Tricky EMG Coding
Question:We have a claim calling for 95860 (once), 95903 (twice), and 95904 (four times). I [...] - Reader Questions:
95951 Versus 95956 Hinges on Video
Question:What is the difference between the two EEG codes 95951 and 95956? Texas Subscriber Answer:The [...] - Reader Questions:
Look to 64400 for Supraorbital Injection
Question:What procedure code applies to a supraorbital nerve injection? Washington Subscriber Answer:Code the procedure as [...] - Reader Questions:
Count Electrodes for Stimulator Implants
Question:What code should we submit for trial stimulator implantation? Should we bill for only the [...] - Reader Questions:
Get the Scoop on Billing Before Credentialing
Question:Our practice has a new physician coming on board to replace a retiring doctor. When [...]
