tci ED Coding & Reimbursement Alert - 2001 Issue 1

Reader Question: 92012 and Modifier -25

Question: Does modifier -25 apply only to E/M codes with Medicare or does it also apply to a 92012 code for a Medicare patient? Robert Bellinoff El Dorado Hills, Calif. Answer: In the scope of the 92012 (ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient) CPT code description it states that, along with the medical examination and evaluation, initiation or continuation of a diagnostic treatment program can be performed. If an ophthalmologic procedure is done separately from the 92012 code, it should be reported in addition to 92012. You...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.