Your office should have a billing supervisor and/or a vendor that would know
the gazillion nuances of billing.
* Are you billing TC/PC or Global?
* How you are billing the exam in the context of a private office will
be different than in a Medicare Part B ancillary setting ( hospital,
institution, etc. )
* It's not so much the diagnosis, as the CPT code. There are multiples
where you cannot bill for both on the same day.
* Proper ICD.10 coding is imperative. While the CPT code may be
legitimate, it must be paired with the proper ICD.10 for payment.
* How you pair different diagnostic tests on same day will also be a
factor.
* The region from which you are billing/coding from will be a factor.
For instance, rules for California might not be the rules for Oklahoma. You
would need to know which guidelines your local carriers are following.
* As you can see, what appears to be a simple question can lead to a
quagmire....
* Hope this helps. A technician / imager with billing and coding
expertise becomes that much more valuable to the practice. There are many on
line courses and resources with which to self-teach oneself.
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Services