Optometry Coding & Billing Alert
Prove Medical Necessity for SLGT With These ICD-9 Codes
Carriers are finicky about 92135 - check this list for approved diagnoses Scanning laser glaucoma testing (SLGT) is a young technology, and while most carriers will reimburse for it, you must still be sure to document medical necessity for 92135 (Scanning computerized ophthalmic diagnostic imaging with interpretation and report, unilateral). Not so fast: "You really need to consult your Medicare carrier for Medicare patients," says David Gibson, OD, FAAO, an optometrist practicing in Lubbock, Texas. "This list is more generous than [Texas Part B carrier] Trailblazer's is. And the approved diagnosis list for private carriers is smaller still." Aetna, for example, still considers the scanning laser "experimental and investigational," and will not approve 92135 for any diagnosis.
Example: Below are the ICD-9 codes that one carrier, Empire Medicare Services of New York and New Jersey, will accept with 92135.
Optometry Coding & Billing Alert
- Spotlight Modifiers for SLGT to Stop Getting Zapped by Payers
Getting reimbursed for 92135 can be tricky, but our expert coding tips will leave your [...] - Prove Medical Necessity for SLGT With These ICD-9 Codes
Carriers are finicky about 92135 - check this list for approved diagnoses Scanning laser glaucoma [...] - Clip and Save:
Get Hip to HIPAA Before It's Too Late
Prepare your optometry practice for this month's security rule deadline
Is your optometry office ready to [...] - Don't Blur Privacy Issues for Your Patients
Create a confusion-free NPP to avoid compliance crackdowns Even if your optometry practice has a [...] - You Be the Expert:
Schirmer's Tear Test
Question: I'm having trouble finding a CPT code for a Schirmer's tear test. How can [...] - Reader Questions:
Check Policy for Pachymetry
Question: What code should I use for pachymetry?
Massachusetts Subscriber
Answer: Report CPT code 76514 (Ophthalmic [...] - Reader Questions:
Use 2 Lines for Bifocal Billing
Question: How would I go about billing a progressive bifocal to those plans that pay [...] - Post-Op Management Corner:
Implement These 5 Tips Today for Ironclad Cataract Care Billing
Modifiers and codes are crucial - but so is being friendly with the surgeon's billing [...] - Reader Questions:
Delay Gratification for Dilated Exam
Question: How should we handle it when a patient who has come in for a [...] - Reader Questions:
Pay the Right Doc by Tracking Incident-To Services
Question: I am a biller for a group practice with 12 physicians and four nonphysician [...] - Reader Questions:
Give Health Info Over Phone as Last Resort
Question: We sometimes get calls from patients wanting their medical information over the telephone. Is [...]
