Wiki Routine eye exam-nurse visit?

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twalls

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Hornell, NY
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If a patient comes in for an eye exam- 99173 because they have to renew their drivers license (doesn't happen often but DMV's are closed in NY right now) is this a nurse visit in addition to 99173. And while we are at it what DX can we use? :unsure:
Many thanks!
 
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If an eye exam is all that is performed, then that's all you can bill - you can't just add on a 'nurse visit' charge unless there is some kind of additional service documented. Additionally, CPT 99211 - the usual code for an E&M service performed by a nurse - has to be a medically necessary service ordered by a provider as part of their plan of care for managing a patient's particular problem, so that would not be appropriate in this scenario.

The diagnosis code for an encounter for purposes of obtaining a driver's license is Z02.4.
 
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