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tci E/M Coding Alert - 2017 Issue 2

Reader Question: Brush Up On 92002 And 99204 Coding

Question: I work in an ophthalmologist’s office, and there is confusion about what codes we would report for an office visit. Can you ever bill 92002 and 99204 together? Virginia Subscriber Answer: No. You cannot bill these two codes together because they indicate the same type of service — a new patient visit. Ophthalmology is the only specialty that has its own options to report office encounters, and for each encounter, you must choose whether to opt for an evaluation and management (E/M) code or an eye code. From the E/M code range for new patient visits, you...

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