Optometry Coding & Billing Alert
Reader Question:
95930 Describes VEP Test
Published on Wed Jul 25, 2012
Question:
Ohio Subscriber
Answer:
There is no CPT® code for the potential acuity meter (PAM) test, also known as the Guyton-Minkowski Potential Acuity Meter. Medicare carriers consider PAM to be an integral part of the evaluation and management service; therefore, they will not reimburse PAM separately from an eye exam or E/M visit.Eye specialists often use PAM to estimate potential vision prior to cataract surgery.
The basics:
The PAM projects an eye chart directly onto the retina, bypassing the cloudy lens, giving the optometrist a way to see how much the patient's vision may improve after surgery. Code 95930 (Visual evoked potential [VEP] testing central nervous system, checkerboard or flash) describes a neurological test in which electrodes measure the electrical activity in the visual pathways of the patient's brain. The VEP can evaluate conditions like optic neuritis, optic tumors and multiple sclerosis.Other Articles in this issue of
Optometry Coding & Billing Alert
- Glaucoma Screenings:
Choose Wisely Between S Code and G Code for Glaucoma Screening
Let form and severity drive your glaucoma coding choices.If your practice is like most - Healthcare Reform:
Affordable Care Act Already Having Effect
Our expert weighs in with her views.In the wake of the U.S. Supreme Court's ruling [...] - Denial Management:
Make Sure Optometrists Are Listed Under Correct Specialty Code
Medicare contractor reports confusion over specialty codes leads to denied claims.If you report a new [...] - Compliance:
Are You Watching Your E/M Trends? OIG Is
Inspectors are finding higher use of high-level E/M codes.If you examine your practice's E/M trend [...] - Is Your Glaucoma Patient Truly at High Risk?
Medicare and most commercial insurances cover annual glaucoma screenings for high-risk individuals. These include:patients with [...] - You Be the Expert:
Refraction for Medicare Patient
Question: A Medicare patient came in just to have his prescription updated. If I only [...] - Reader Question:
Nursing Home Patient -- Eye or E/M Code?
Question: I visited a patient who was in a nursing home. Should I use an [...] - Reader Question:
95930 Describes VEP Test
Question: Is 95930 the correct procedure code for potential visual acuity meter? Can this code [...] - Reader Question:
No CCI Bundle? Here's Where to Find Modifier Details
Question: Sometimes I cannot find my two-code pair in the CCI edits. How do I [...] - Reader Question:
Catch Up on Incomplete Claims
Question: Our practice has a few claims that have missing or incorrect information. I'm not [...]
View All
