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Office Visit billing 99213 and Dilation

Gail Posted Mon 06th of January, 2014 12:57:17 PM

If a patient is seen for their comprehensive eye exam but returns a week later for the dilation, should an office visit 99213 be charged along with the extended ophthalmoscopy?

SuperCoder Answered Tue 07th of January, 2014 07:44:09 AM

Extended ophthalmoscopy is used for an exam that goes beyond the routine ophthalmoscopy exam and involves the use of indirect ophthalmoscope and indirect lens. Extended ophthalmoscopy is usually performed for serious retinal problems. If the documentation of the exam supports the use of Extended Ophthalmoscopy codes, then codes from that range can be used over and above the office visit code.

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