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Wiki Spot Vision Testing / Welch product / Washington State

nsmtpeds4

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I have a question for you about Spot Vision Testing

My provider currently wants to purchase a Machine Spot Vision Screener, that will do an Eye Test in the Office for providers instead of the snellen chart.

But HCA/DSHS Fee Schedule states code 99177 would need a PA for every time we billed out this code and code 99174

99173

$1.87
$1.87
000
N


99174

B.R.
B.R.
000
N
PA

99175

$9.75
$9.75
000
N


99177

B.R.
B.R.
000
N
PA


Premera Private insurance states they would pay for 99174 roughly $40.00


My Problem is with CPT CODE 99174 , intstrament based ocular screening (eg photoscreening, automated-refraction), bilateral, with remote analysis and report
when it states remote analysis and report - does that mean the device itself is remote ? and the report that the machine prints ?

because in my mind I should be getting a report from a company remotely ?

PLEASE HELP !!!
 
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