ashumack
New
I recently started as a coding and billing specialist in a small optometry clinic. Previously I coded ER for a rural access hospital, and so I am not sure what the right thing is when it comes to refractions.
This clinic has historically been billing 92015-GY to Medicare and having the patient sign an ABN. I have spoken to a couple of other billers in Ophthalmology clinics who say they do not bill the 92015, but they still get the ABN signed and collect from the patient at the time of service.
Is it necessary to bill 92015 to any insurance in order to charge the patient for it if we are 100% sure that the insurance will not cover it because they consider it routine?
Thank you to anyone who can help!!!![Cool :cool: :cool:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
This clinic has historically been billing 92015-GY to Medicare and having the patient sign an ABN. I have spoken to a couple of other billers in Ophthalmology clinics who say they do not bill the 92015, but they still get the ABN signed and collect from the patient at the time of service.
Is it necessary to bill 92015 to any insurance in order to charge the patient for it if we are 100% sure that the insurance will not cover it because they consider it routine?
Thank you to anyone who can help!!!