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Glaucoma Imaging Coding

Lovell Posted Fri 14th of June, 2013 14:08:08 PM

I have been operating under the impression that an OCT of optic nerve (92133) and a visual field (92083) cannot be done on the same day and should be separated by 3 months for billing purposes, especially in medicare patients. Is this true?

SuperCoder Answered Mon 17th of June, 2013 12:40:21 PM

Both can be billed the same day.

The RVUs for 92133/92134 have been reduced by CMS.
 The key change was a reduction in the Practice Expense calculations because the time to conduct
the test and acquire scans is shorter with current machines.
 The cost of these instruments is amortized in such a way that it has very contribution to the final
 Physician effort for the interpretation and report of 92133/92134 was determined by surveys of
ophthalmologists and was typically described as equivalent to the effort and time to interpret and
report 92083 Visual Fields. This value was accepted by CMS.
 The technician time and room use are longer for the visual field codes than for 92133/92134 which
is why the payments for 92083 is higher.

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