Optometry Coding & Billing Alert
Rely on These VF Diagnosis Codes
Prove the procedure isn't cosmetic with 368.40 and more Medicare is very picky about paying for procedures related to blepharoplasty. To receive compensation for your services, you must prove that you're working to correct a medical problem, not a cosmetic one - an easy feat with this handy list. Note: These diagnosis codes come from Trailblazer's LCD for Maryland, Texas, Virginia and Washington, D.C. To read the entire LCD, visit www.trailblazerhealth.com/lmrp.asp?ID=1802.
Carriers will only accept certain ICD-9 diagnosis codes to back up the medical necessity of blepharoplasty - and unfortunately, the same holds for visual fields you perform prior to the surgery (92081-92083, Visual field examination, unilateral or bilateral, with interpretation and report ...). Here are some usual suspects that carriers consider indicative of medical necessity for blepharoplasty:
Optometry Coding & Billing Alert
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