Prove VF Necessity With Accurate ICD-9 Coding
Published on Mon Feb 28, 2011
Although your individual insurer may have its own rules for payment, here is a list of diagnoses that many Medicare carriers agree may support medical necessity for CPT codes 92081-92083 (Visual field examination, unilateral or bilateral, with interpretation and report ...):
- 191.0-191.9 -- Malignant neoplasm of brain
- 192.0 -- Malignant neoplasm of cranial nerves
- 194.3 -- Malignant neoplasm of pituitary gland and craniopharyngeal duct
- 198.89 -- Secondary malignant neoplasm of other specified sites
- 224.5 -- enign neoplasm of retina
- 225.1 -- Benign neoplasm of cranial nerves
- 227.3 -- Benign neoplasm of pituitary gland and craniopharyngeal duct
- 234.8 -- Carcinoma in situ of other specified sites
- 237.0 -- Neoplasm of uncertain behavior of pituitary gland and craniopharyngeal duct
- 239.6 -- Neoplasm of unspecified nature of brain
- 239.7 -- Neoplasm of unspecified nature of endocrine glands and other parts of nervous system
- 348.2 -- Benign intracranial hypertension
- 362.11-362.18 -- Other background retinopathy and retinal vascular changes
- 364.22 -- Glaucomatocyclitic crises
- 365.00-365.82 -- Glaucoma
- 368.40-368.47 -- Visual field defects
- 377.00-377.04 -- Papilledema
- 377.14 -- Glaucomatous atrophy (cupping) of optic disc
- 377.15 -- Partial optic atrophy
- 377.30-377.34 -- Optic neuritis
- 377.41 -- Ischemic optic neuropathy
- 377.42-- Hemorrhage in optic nerve sheaths
- 377.49 -- Other disorders of optic nerve
- 379.21 -- Vitreous degeneration
- 784.0 -- Headache
- V58.63-V58.69 -- Long-term (current) drug use
- V67.51 -- Follow-up examination following completed treatment with high-risk medication not elsewhereclassified.