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Photoscreening

Atlantic Posted Mon 07th of January, 2013 19:44:11 PM

IS instrument based ocular screening or photoscreening billable with CPT 99174 ? Does Medicare/Medicaid pay for this service, if so, how much is their allowance? Can we bill this code separately from the office cpt 92002-92014 ?

SuperCoder Answered Wed 09th of January, 2013 18:54:46 PM

IS instrument based ocular screening or photoscreening billable with CPT 99174 -Yes.

(Do not report 99174 in conjunction with 92002-92014, 99172, 99173).

N status means "not covered by Medicare," so it won't ever reimburse for codes with N status.

Atlantic Posted Fri 11th of January, 2013 15:36:15 PM

What is the LCD/medical policy indicating the medically necessity for this procedure to be
performed and covered by Medicare ?

Atlantic Posted Fri 18th of January, 2013 19:11:28 PM

What is the Medical Policy on medical necessity for 99174 for Medicare ? Thank you

SuperCoder Answered Tue 22nd of January, 2013 16:28:04 PM

Hi,

We are looking for it. I will respond you soon.

Thanks

SuperCoder Answered Tue 22nd of January, 2013 23:30:04 PM

Medicare's fee schedule appears to list a code status of N (non-covered) for 99174, which is a screening code often performed at well-child visits.

Atlantic Posted Wed 23rd of January, 2013 20:51:21 PM

Please clarify the post from 2 weeks ago that stated "medicare pays for this" ?
So this is incorrect? Medicare does not pay for this when billed separately or with an exam?

SuperCoder Answered Wed 23rd of January, 2013 21:43:53 PM

We apologize for the incorrect info earlier. Thanks for bringing this into notice. We have corrected it.N status means "not covered by Medicare," so it won't ever reimburse for codes with N status.

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