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Preventive Services: Glaucoma Screening

By:  Find-A-Code
Published:  September 1st, 2017

The following information from the Medicare Learning Network provides guidance from the Department of Health and Human Services on Glaucoma Screening: 

HCPCS/CPT Codes

G0117 - Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist
G0118 - Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist 

ICD-10 Codes

Z13.5

Who Is Covered

Medicare beneficiaries who fall into at least one of the following high risk categories:

  • Individuals with diabetes mellitus
  • Individuals with a family history of glaucoma
  • African-Americans aged 50 and older
  • Hispanic-Americans aged 65 and older

Frequency

Annually

Medicare Beneficiary Pays

  • Copayment/coinsurance applies
  • Deductible applies

Please note: The information in this educational product applies only to the Medicare Fee-For-Service Program (also known as Original Medicare). For additional guidance on using diagnosis codes, go to the Medicare Claims Processing Manual, Chapter 18 on the Centers for Medicare & Medicaid Services (CMS) website.

Watch the CMS Provider Minute: Preventive Services video for pointers to help you submit sufficient documentation when billing for certain preventive services.


References:

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