For starters, it must be performed under your direct supervision.
The reimbursement for a visual field or any other test includes the set-up, instruction and performance of the test, whether performed by a physician or...
Articles
Some surgical care doesn’t end in a single operation, and the patient needs additional surgery in the postoperative period. Complex cases may be staged. Other cases may require an unexpected return to the operating...
Answers to questions that linger since Medicare Advantage organizations started implementation for anti-VEGF treatments.
In August 2018, the Centers for Medicare and Medicaid Services announced plans to institute step therapy for some Medicare beneficiaries...Billing for a procedure done during the global period of a prior procedure.
Physicians and billers are often confused regarding which modifiers to use when a procedure is performed in the global period...
We are often asked a simple question — whether removal of benign skin lesions is a covered service. The answer, alas, is complicated: “Sometimes.” This column will explain when the removal is a service...
Some changes have been made to the Merit-based Incentive Payment System. Here’s what you need to know.
This article addresses the following questions:- I saw Medicare has released the 2020 Proposed Rule. Can you...
Distinction must be made between additive and duplicative information.
Extended ophthalmoscopy (EO; CPT 92225, 92226) and imaging of the retina (CPT 92250, 92134, 92235, 92240) are overlapping services. This overlap often leads to...
New therapies always engender questions about reimbursement — and often, new codes. Dexamethasone ophthalmic insert falls into this category.
This article addresses the following questions:
- What is dexamethasone ophthalmic insert?
- How is the procedure coded? ...