Thank you for visiting our website. Our office is beginning to reopen, although our home office in San Bernardino is not fully staffed. The home office is open Monday – Thursday each week, and some Fridays We have employees working from home to answer your questions and our Consultants are available, as always. We are still conducting live webinars; please check the listings for dates and times. Please contact us at help@corcoranccg.com or leave a voicemail at (800) 399-6565. We will respond to your inquiries as soon as possible.


Prepayment Reviews of Ophthalmic Tests

Ophthalmic Diagnostic Tests are to be the subject of prepayment review for Palmetto Medicare. The reviews will be conducted in Jurisdiction 11, including providers in North Carolina, South Carolina, Virginia and West Virginia. The focus of the reviews will be:

  • 76514 Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral determination of corneal thickness
  • 92002 Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program: intermediate, new patient
  • 92004 Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program: comprehensive, new patient, one or more visits
  • 92012 Ophthalmological services: medical examination and evaluation with initiation or continuation of diagnostic and treatment program: intermediate established patient
  • 92014 Ophthalmological services: medical examination and evaluation with initiation or continuation of diagnostic and treatment program: comprehensive, established patient, one or more visits
  • 92015 Determination of refractive state
  • 92020 Gonioscopy, separate procedure
  • 92083 Visual field examination unilateral or bilateral, with interpretation and report: extended examination (e.g., Goldman Visual Fields with at least three quantitative, automated threshold perimetry, Octopus Program G-1, 32 or 42, Humphrey Visual Field ANA
  • 92225 Ophthalmoscopy, extended with retinal drawing (e.g., for retinal detachment, melanoma) with interpretation and report: initial
  • 92226 Ophthalmoscopy, extended with retinal drawing (e.g., for retinal detachment, melanoma) with interpretation and report: subsequent
  • 92235 Fluorescein Angiography (Includes multiframe imaging) with interpretation and report
  • 92250 Fundus photography with interpretation and report
  • 92285 External ocular photography with interpretation and report for documentation of medical progress (e.g., close-up photography, slit lamp photography, goniophotography, stereo-photography)

The complete text of this announcement, including instructions for preparing and sending the documents can be obtained from the Palmetto website at http://www.palmettogba.com/palmetto/providers.nsf/ls/jurisdiction%2011%20part%20b~8t9nz80035?opendocument&utm_source=j11bl&utm_campaign=j11bls&utm_medium=email

Related Posts

Website by MIC