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Are You Up to Date on Extended Ophthalmoscopy? – Retinal Physician

Explore one MAC’s explanation of the requirements.

From time to time, we are reminded that we need continued attention to proper documentation and medical necessity requirements for extended ophthalmoscopy. While not new, one Local Coverage Determination (LCD) from First Coast Service Options, Inc. (FCSO), the Medicare Administrative Contractor (MAC) for Florida, Puerto Rico, and the U.S. Virgin Islands, spells out the requirements for 92225 and 92226 in detail. Most other MACs also have policies, but we found the FCSO LCD to be particularly succinct.

This article addresses the following questions:

  • What does the LCD say?
  • What documentation is required?
  • Where can we find this LCD?
  • What else should we be thinking of?

This article was published in Retinal Physician, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Retinal Physician, click on the link below:

https://www.retinalphysician.com/issues/2019/june-2019/coding-q-amp;a-are-you-up-to-date-on-extended-oph

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