Not Coded vs Not Covered – Ophthalmology Management
Many practices assume that services without regular CPT codes are automatically non-covered and payable by the patient. That isn’t necessarily the case. What can you do about it?
This article addresses the following questions:
- Aren’t Category III codes and miscellaneous codes non-covered?
- How are we supposed to know if a service is covered or not?
- What if we decide non-coverage is likely and just decline to submit a claim?
- We can get an ABN though, correct?
- What about Medicare Advantage patients?
- How about other payers?
This article was published in Ophthalmology Management’s Coding & Reimbursement column, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Ophthalmology Management, click on the link below: