1. Mark Wright
   Posted 4 months ago #
   

   Does pachymetry require a report? If so, what is required?

2. SuperCoder
   Posted 4 months ago #
   

   Corneal pachymetry is considered a diagnostic test. Document it in the chart the same as other ophthalmic tests, including: patient's name and date of test; physician's order for the test with medical rationale; patient's consent for test (may be verbal); test results including corneal thickness measurements and reliability; interpretation of the test including diagnoses, indicated treatment, and prognosis; and physician's signature.
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   The treating physician should document the order for the test. Be sure the interpretation can be easily identified as a test interpretation and not part of the eye exam. As draft policies appear, we are seeing Medicare carriers willing to reimburse this service one time per lifetime unless medical necessity is documented to support the need to repeat the measurement. Patients who experience corneal changes due to trauma, surgery or corneal disease may require repeat testing. The documentation of medical necessity will determine whether it is reimbursed.

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