AHA Coding Clinic® for HCPCS - 2002 Quarter 1
Coding and reporting glaucoma screening
(Due to the OPPS delay, the implementation of the new codes, are on hold until April 1, 2002.) Medicare will now provide payment for glaucoma screening services to eligible Medicare beneficiaries, specifically those with diabetes mellitus or a family history of glaucoma, and certain other individuals found to be at high risk of glaucoma. The glaucoma screening procedure is stated to consist of: (1) A dilated eye examination with an intraocular pressure measurement; and (2) A direct ophthalmoscopy examination, or a slit-lamp biomicroscopic examination. Two new HCPCS codes were created for glaucoma screening: G0117 , Glaucoma screening for high...
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Article Overview
This article covers Medicare coverage and reporting considerations for glaucoma screening services for eligible beneficiaries, with emphasis on the new HCPCS reporting additions, the outpatient payment classification, and the accompanying diagnosis reporting requirement. It is relevant to coders, billers, and ophthalmology providers who need a general overview of how glaucoma screening claims were being described in the source guidance.
Why This Topic Matters
It helps readers understand the scope of glaucoma screening billing guidance and the associated Medicare outpatient classification changes without needing the full premium article.
Article Sections
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Payment and implementation timing
Discusses the timing note for implementation and the Medicare payment context for glaucoma screening services.
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Eligibility and service components
Summarizes the patient categories addressed in the article and the general elements of the screening encounter.
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HCPCS reporting and APC assignment
Identifies the HCPCS reporting additions and the outpatient payment classification referenced in the guidance.
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Claim submission and diagnosis reporting
Addresses the claim-level reporting considerations described for these screening services, including the diagnosis category mentioned.
What You Will Learn
- The Medicare context for glaucoma screening services
- Which broad patient groups are discussed in relation to screening eligibility
- What general components are described for the screening encounter
- What outpatient payment and reporting categories are referenced
- What claim-submission topic is highlighted for screening visits
Who Should Read This
- Medical coders
- Hospital outpatient billing staff
- Ophthalmology practices
- Compliance teams
- Revenue cycle professionals
Codes Discussed
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