Ophthalmology and Optometry Coding Alert
Face-to-Face Is a Must for Medicare
South Carolina Subscriber
Answer: If this is a Medicare patient, you will not be able to charge for this consultation. Medicare only pays when the patient is present, and you won't find any way around this.
You can bill the family for the visit, or you can have the family present at the nursing home with the patient in the room when the physician performs the consult. This would not be a coding "consultation" but rather a nursing home visit (99334-99337). The important thing in this situation is that the physician has face-to-face contact and evaluates the patient along with discussing treatment options with the family.
Ophthalmology and Optometry Coding Alert
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