Ophthalmology and Optometry Coding Alert

A new federal law will allow reimbursement for ophthalmologists for glaucoma screening. On Dec. 22, 2000, the first glaucoma detection benefit under Medicare was signed into law. A blindness-prevention benefit exists for the first time, opening the way for other benefits.

The glaucoma detection includes coverage for a dilated eye examination with an intraocular pressure measurement, and direct ophthalmoscopy or a slit-lamp biomicroscopic exam for individuals at highest risk of developing the disease, including blacks, those with a family history of the disease and those with diabetes.

The law allows Medicare reimbursement beginning Jan. 1, 2002, for screening for anyone at high risk for the disease. The service has to be furnished by or under the supervision of an optometrist or ophthalmologist who is legally authorized to perform such services in the state where the services are furnished.