Optometry Coding & Billing Alert
Reader Questions:
E/M Applies for Patient-Generated Second Opinion
Published on Fri Feb 22, 2008
Question: A patient recently visited our clinic and asked for a second opinion. CPT has deleted the confirmatory consult codes for billing second opinions, so how should we report our optometry services? Illinois Subscriber Answer: For a patient-generated second opinion, you should treat the procedure like any other E/M service. You should report it using the appropriate E/M code (99201-99205 for new patients, or 99212-99215 for established patients). Caveat: In cases when the second opinion is expert- generated, you can count it as a true consultation, if you have specialist documentation supporting your claim.
Other Articles in this issue of
Optometry Coding & Billing Alert
- 6 Tips Guide You to More Accurate
Clear the air on appropriate codes to boost practice revenue Getting insurance claims paid for [...] - Learn the Latest on CPT's Possible Consult Clarification
Get to know the 5 consultation keys -- we-ll tell you what they are Rumors [...] - You Be the Expert:
Look for Long-Standing Strabismus Case Code
Question: Another OD referred a new patient with long-standing strabismus to us. How should I [...] - Reader Questions:
Put Progressive Lens Billing Questions Behind You
Question: We fitted a patient for progressive lenses. How should we bill the procedure? North [...] - Reader Questions:
E/M Applies for Patient-Generated Second Opinion
Question: A patient recently visited our clinic and asked for a second opinion. CPT has [...] - Reader Questions:
Look at Transferring Patient's Time Frame
Question: An optometrist is new to our practice from another practice in town. Some of [...] - Reader Questions:
Don't File PRK Follow-Up by Second Optometrist
Question: We got a patient for a PRK follow-up exam. He had the surgery done [...] - Reader Questions:
Get Ready for 'UHC Meets CCI'
Question: I-ve heard that I-m going to have to start changing some of the codes [...] - Reader Questions:
Watch for Phone Code Fine Print
Question: A new patient with blurry vision came to our office on Wednesday. I did [...] - Reader Questions:
Check Fee Schedule for Punctal Plug Global Period
Question: What is the postoperative period for punctal plug insertion? I am planning to insert [...] - Reader Questions:
Use a BAA for Electronic Claims Submission
Question: We are moving to electronic billing but now submit paper claims. Do we need [...] - Build a Better Business:
3 Basic Items Guarantee Successful Contract Negotiation
If you want to keep your practice running smoothly and successfully, you have to know [...]
View All
