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BILLER/ROSE

Martha Posted Wed 04th of March, 2015 20:45:47 PM

MY DOCTOR DID A 67900 AND 15823 ON LEFT LID AND ALSO MYECTOMY /SEVERED EYE MUSCLE AT SAME TIME. PT IS WITH MEDICARE...WHAT CODE SHOULD I BILL?

SuperCoder Answered Thu 05th of March, 2015 07:53:45 AM

Hi,
Thank you for the query.
To bill Medicare for the code 67900, you must have documentation of medical necessity: specifically, a visual defect documented by visual fields (92081-92083), and pathology documented by external ocular photographs with side views (92285, External ocular photography with interpretation and report for documentation of medical progress [e.g., close-up photography, slit lamp photography, goniophotography, stereo-photography]).
15823 can be billed along with the side modifier.
Hope it helps you.

Thank you

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