Coding for Diabetic Retinopathy 1. Office visit, 92 or 99 Frequency -As medically indicated (q 6mo, 12mo) -No limit on office visits -Manage separate.

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Presentation transcript:

Coding for Diabetic Retinopathy 1

Office visit, 92 or 99 Frequency -As medically indicated (q 6mo, 12mo) -No limit on office visits -Manage separate from routine vision care -Annual Diabetes exam billed to medical 2

Coding for Diabetic Retinopathy Special Tests Scanning Imaging Fundus Photo Extended Ophthalmoscopy GonioscopyLab 3

Coding for Diabetic Retinopathy Scanning, posterior segment; retina Diagnostic test if macula edema is suspected 4

Coding for Diabetic Retinopathy Fundus Photo Photo of no retinopathy is not medically billable 5

Coding for Diabetic Retinopathy Extended Ophthalmoscopy EO with drawing of normal retina is not medically billable If one eye only with diabetic findings, then one eye only is billable 6

Coding for Diabetic Retinopathy Gonioscopy Bill if pressures increase Diagnosis = glaucoma suspect 7

Coding for Diabetic Retinopathy Lab Medicare co-payments & deductibles do not apply QW Blood glucose by glucose monitoring device cleared by FDA for home use Pays $ $3.35 8

Coding for Diabetic Retinopathy Lab QW Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use Pays $10.88 to $

Coding for Diabetic Retinopathy Glucose monitoring device list meter.info/information/glucose-meters.htm meter.info/information/glucose-meters.htm One Touch Walmart.com OneTouch Ultra Test Strips Net = $ $1.92 per test 10

Coding for Diabetic Retinopathy HA1C Home Monitoring device on Amazon.com 11

Coding for Diabetic Retinopathy Certificate of Waiver Required No person may accept materials from human body for laboratory examination without certificate $150 per 2 years (WA) 12

Dry Eye file://localhost/Users/alanhomestead/Do cuments/My Documents B /Adventures /O - S/Presentations/Repository of My PowerPoints/1 Topic Modules/Dry Eye/Dry Eye Aug 13.ppt file://localhost/Users/alanhomestead/Do cuments/My Documents B /Adventures /O - S/Presentations/Repository of My PowerPoints/1 Topic Modules/Dry Eye/Dry Eye Aug 13.ppt 13