Coding for Dry Eye and Epiphora – Ophthalmic Professional

Insurance won’t cover all tear function testing. Familiarity with specific payer policies is vital to receiving payments.

We encounter dry eyes almost every day in clinic. Some patients return for a re-check, others have new complaints and others are unaware of their condition. Dry eye may be the true culprit when excessive tearing is noted as the primary complaint. In the past we could only test for tear volume issues, but tear quality testing is expanding.

This column addresses the following topics:

  • Noting symptoms to choose appropriate tests
  • Incidental tests
  • Covered tests
  • Written and verbal orders
  • Necessary documentation

This article was published in Ophthalmic Professional’s Coding column, and written by Corcoran’s Senior Consultant, Paul Larson, COE. To view the entire article in Ophthalmic Professional, click on the link below:

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