Glaucoma - Washington Paraoptometric Section：青光眼-华盛顿paraoptometric节.ppt

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Serial Tonometry Unilateral / Bilateral CPT: Silent? Medicare: Bilateral, Payment is same whether test one or both eyes? Non-Medicare: No universal rule, may follow Medicare * Serial Tonometry CCI 92100 + 99211 (-59 ok) * Serial Tonometry Interpretation Report Yes Doctor Order No Supervision Level Concept does not apply * Coding for Glaucoma Glaucoma Suspects  Special Tests Scanning Imaging (GDx, OCT) Pachymetry Visual Fields Fundus Photo Serial Tonometry Gonioscopy Extended Ophthalmoscopy * Coding for Glaucoma Glaucoma Suspects  92020 Gonioscopy (separate procedure) * Gonioscopy Indications, Diagnosis Codes, Frequency Medicare LCD Noridian: Retired CGS: No WPS: No Novitas: No Palmetto: No * Gonioscopy Indications, Diagnosis Codes, Frequency Medicare LCD Clinical judgment if no LCD * Gonioscopy Indications, Diagnosis Codes, Frequency Non-Medicare Every plan has own rules Clinical judgment May follow Medicare ? * Gonioscopy Unilateral / Bilateral CPT: Silent? Medicare: Bilateral, Payment is same whether test one or both eyes Non-Medicare: No universal rule, may follow Medicare ? * Gonioscopy CCI 92020 + 92285 (-59 ok, add to 92020) 99211 (-59 ok) ? * Gonioscopy Interpretation and report No ? Doctor Order No Supervision Level Concept does not apply ? ? * Coding for Glaucoma Glaucoma Suspects  Special Tests Scanning Imaging (GDx, OCT) Pachymetry Visual Fields Fundus Photo Serial Tonometry Gonioscopy Extended Ophthalmoscopy * Coding for Glaucoma Glaucoma Suspects  Ophthalmoscopy, extended, with retinal drawing (eg, for retinal detachment, melanoma); 92225 initial 92226 subsequent * Extended Ophthalmoscopy Indications, Diagnosis Codes, Frequency Medicare LCD Noridian: Retired CGS: Yes WPS: Retired Novitas: Yes Palmetto: