tci Part B Insider - 2015 Issue 27

Ophthalmology Coding: Contact Lens Coding Goes Beyond 92310

Get your deserved reimbursement for medically necessary lenses. Seasoned ophthalmology coders know there’s a world of difference between contact lenses to correct refractive error and lenses that are necessary for a medical reason. Knowing the difference – and which CPT® and HCPCS codes to report – can mean the difference between a successful claim and a denied claim. Read on for our expert answers to frequently asked questions about contact lens coding. Question: Is coding for medically necessary contact lenses different than coding for elective contacts? Answer: Yes. Many carriers, including Medicare, will not cover correcting of refractive...

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