Sara Posted Fri 01st of April, 2011 13:43:56 PM
Can this be done in a pediatric clinic?
SuperCoder Answered Fri 01st of April, 2011 20:25:17 PM
92230 is no longer the CPT code for the fluorescein strip and is not being paid. Earlier it was considered a fluoroescein strip which is done frequently in pediatrics when, for example, corneal abrasions are suspected. The orange strip is simply dipped in the corner of the eye, which is then examined by ophthalmoscope. After applying the fluorescein, which can also be applied by drops, the eye is illuminated by a Woods lamp, which causes the fluorescein to glow rather like a black light. The fluorescein accumulates around corneal abrasions causing them to be easily visible.
92230 is for test using an ophthalmoscope and fluorescein dye, but in 92230, the dye is injected into the arm. The purpose of the test is to examine the retinal blood vessels. So, now 92230 can't be performed in a pediatric clinic.
Lori Answered Wed 08th of June, 2011 16:09:50 PM
Is there a code pediatricians can use for the fluoescein?
SuperCoder Answered Wed 08th of June, 2011 17:19:28 PM
The examination and fluorescein dye test are included in the evaluation and management (E/M) service and are not reported separately. However, the eye examination and history performed and documented may support a higher level E/M code. The 1997 E/M Documentation Guidelines include the reporting criteria for a single system specialty examination (eg, eye).
If your pediatrician performs fluorescein staining to detect a corneal abrasion, you should include the procedure in the E/M service (such as 99201-99215, Office or other outpatient visit). CPT® has no specific code for dipping a strip into the eye. If you had to interrupt the schedule to treat a patient with acute eye pain, you may want to add on special services in-office emergency code 99058 (Service[s] provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service).