Reimbursement for Tests with Visionix VX-120 (Visionix)

The Visionix VX-120 provides the user with the ability to perform multiple measurements of the eye.

The VX-120/130 takes a large series of digital images of the cornea, anterior chamber, iris, and lens.  By using a tomographic reconstruction software algorithm processed by a computer, a three dimensional tomogram is created.  Depending on the needs of the examiner, the VX-120/130 allows the user to selectively measure and analyze one or more parts of the eye.  These tests and features include:

  • Angle kappa
  • Corneal pachymetry
  • Corneal topography
  • Intraocular pressure
  • Keratometry
  • Refraction
  • Scanning computerized ophthalmic diagnostic imaging of the anterior chamber
  • Virtual contact lens fitting
  • Wavefront aberrometry

These tests supplement the ophthalmologist’s or optometrist’s eye exam.  Some features of the Visionix VX-120/130 are particularly useful for patient education.

This monograph describes reimbursement for tests performed with the Visionix VX-120/130, either alone or as part of another service. The VX-120/130 are multipurpose diagnostic instruments that can perform multiple tests depending upon the patient’s and provider’s needs.

Much of the information is taken from official publications of the Medicare program, including the Centers for Medicare and Medicaid (CMS) and the Medicare Administrative Contractors (MAC). The reader is encouraged to check with the local MAC for additional information and instructions as not all guidelines are the same. In the case of other third party payers, we have used the coding concepts contained in CPT and published by the American Medical Association; diagnosis codes are from ICD-10-CM. Documentation of the medical necessity of any diagnostic test is a prerequisite to reimbursement, so we describe the required elements in detail.

Since economic analyses are a necessary part of any capital budgeting decision, we incorporated Medicare’s payment rates for the procedures as well as utilization rates.

 

 

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Provided Courtesy of Visionix Inc.

 

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