Greetings. Large Ophthalmology Group. Patient was seen a week before for New Patient Routine eye exam without dilation (cpt code 92002)- Patient is on High-Risk medication for HTN, Thyroid dysfunction, and is BORDERLINE diabetic. Patient seen again yesterday for JUST the Dilated macular or fundus exam performed, with all documentation salient to fundus findings. I see that the provider reported 2021F. Wouldn’t the better option have been to either 1) Bill G8397 or 2) Inform the patient that they ".. have medical conditions that warranted further evaluation with a Dilated Medical Exam, so we will just skipt the DFE Screening (that is already included in the patient’s insurance) and instead do the more thorough retinal Medical exam that is billed through your Medical Insurance." ? This could have then been billed with a CPT Code of 992**. Your input is strongly encouraged. I look forward to your replies. 😀
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Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Macular
Diabetes and screening for Macular Degeneration
What ICD 10 codes would an Ophthalmologist use when he is doing an exam for macular degeneration for a patient with diabetes, uncomplicated, using drug therapy, that was referred to him by her PCP? He usually uses E11.9 and is now being denied for medical necessity.