CPT^® 92136, Under Ophthalmological Examination and Evaluation Procedures

The Current Procedural Terminology (CPT^®) code 92136 as maintained by American Medical Association, is a medical procedural code under the range - Ophthalmological Examination and Evaluation Procedures.

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Summary

The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting the correct power for an IOL implanted after cataract removal helps achieve desired vision goals.

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A-scan TC denial Medicare

Has anyone noticed or seen that Medicare is paying for the 92136 26 RT/LT, but not paying on the 92136 TC? How can we fix this? It doesn't happen on all patients, just a few here and there.... [ Read More ]

Modifier 26 & TC for OD Diagnostic Tests

Hi - Do you have a specific code and encounter example? I'm wondering if there's something with supervision requirements or codes like 92136 where the bilateral rules vary based on 26/TC involved. But... [ Read More ]

medical vs. routine eye visit

[QUOTE="ENostrant11, post: 510648, member: 742458"] Question on this topic.. I have a patient that was seen for an office visit (99215) and several other test (92136, 92025, 92134). My question is, t... [ Read More ]

medical vs. routine eye visit

Question on this topic.. I have a patient that was seen for an office visit (99215) and several other test (92136, 92025, 92134). My question is, the provider has noted that for the 92025 the dx code... [ Read More ]

PLEASE HELP with 92136 vs 76519

No, unless you have written guidance from a payer that instructs you to do this, that would not be appropriate. 76519 is performed using ultrasound, 92136 is not, so these codes are not interchangeab... [ Read More ]

PLEASE HELP with 92136 vs 76519

We bill code 92136 to our carriers and only Medicare will pay this code. Is it acceptable to bill code 76519 to the other carriers for reimbursement as they seem to be paying that code rather than th... [ Read More ]

IOL master denials

We bill the same for Medicare and Coventry First eye 92136 dx indicates bilateral Second eye 92136-26 dx indicates which eye If second eye is done more than 12 months after the first, a repeat b... [ Read More ]

IOL master denials

We bill Medicare as well as Coventry and have not had any issues with payment. 92136-TC 92136-26-50... [ Read More ]

IOL master denials

We have been having trouble with Coventry and Medicare denying code 92136. With Coventry the first eye is billed with no modifier, second eye with modifiers 52 and the eye performed on. Medicare is... [ Read More ]

Optometrist Billing IOL for Cataract Surgery

It shouldn't be a problem. Will your OD be doing both the measurement and the IOL power calculations? The code has a bilateral technical component and a unilateral professional component so, assuming... [ Read More ]

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