HCPCS and Diagnosis Coding for Glaucoma Screening Services (Rev. 1, 10-01-03)

by  Jared Staheli
July 5th, 2015

The following HCPCS codes should be reported when billing for screening glaucoma services:

G0117 - Glaucoma screening for high-risk patients furnished by an optometrist (physician for carrier) or ophthalmologist.

G0118 - Glaucoma screening for high-risk patients furnished under the direct supervision of an optometrist (physician for carrier) or ophthalmologist.

The carrier claims type of service for the above G codes is: TOS Q.

Glaucoma screening claims should be billed using screening (“V”) code V80.1 (Special Screening for Neurological, Eye, and Ear Diseases, Glaucoma). Claims submitted without a screening diagnosis code may be returned to the provider as unprocessable (refer to Chapter 1 for more information about incomplete or invalid claims).

References:

• Pub 100-04 Medicare Claims Processing Manual - Chapter 18