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BILLER

Donna Posted Tue 08th of December, 2015 09:58:04 AM

HOW SHOULD WE BILL A DIABETIC EYE EXAM WHEN THE PATIENT WANTS TO USE THEIR ROUTINE BENEFITS ??

SuperCoder Answered Wed 09th of December, 2015 08:27:10 AM

For diabetic beneficiaries, the primary diagnosis on the claim should also be routine vision screening, with diabetes listed as a secondary diagnosis. Failure to include the routine diagnosis or using an evaluation and management (E&M) procedure code may cause the claim to process as a diagnostic eye exam.

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