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99174 units

Town & Country Pediatrics & Posted Tue 24th of December, 2013 12:30:35 PM

Can we bill two units on '99174' if the physician did the ocular photo-screening twice, once with the patient wearing glasses and once without? This was not done as a routine vision test, but rather the patient came in to the pediatrician because she was experiencing blurry vision.

SuperCoder Answered Tue 24th of December, 2013 14:51:21 PM

Only Once. This is performed in single session.

Example: The physician sees an 18–month–old for preventive medicine. While examining the infant, the mother expresses worry that the family has a strong history of strabismus and amblyopia.
The physician immediately examines the infant with typical office instrument, but the exam revealed no abnormality. To make sure, the physician orders that the child be screened with a photoscreening device.
You would report the ocular photoscreening with 99174.

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