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 !!!