tci Medicare Compliance & Reimbursement - 2008 Issue 1

Optometry: Look To G, V Codes When Reporting Glaucoma Screens

ABN is a must if the patient is ineligible for Medicare covered test When your optometrist performs a glaucoma screening for a Medicare patient, you'll need to use Medicare G codes and ICD-9 V codes to prove medical necessity on your claim or risk nonpayment. Use this primer to help you report glaucoma screenings for Medicare patients. Medicare will cover annual glaucoma screenings for patients meeting high-risk parameters, says Chris Felthauser, CPC, CPC-H, ACS-OH, ACS-OR, PMCC, medical coding instructor for Orion Medical Services in Eugene, OR.What's high risk? Patients with one or more of the following characteristics are...

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