AMA CPT® Assistant - 2016 Issue 3 (March)

Medicine: Other Services and Procedures (Q&A) (March 2016)

March 2016 page 11a Medicine: Other Services and Procedures Question: Please confirm whether codes 99174 and 99177 maybe reported in addition to 92015, when both services are performed? Answer: Code 92015 (refractive screening) is inherently included in codes 99174, Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report, and 99177, Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis, and should not be reported separately. Therefore, code 92015, Determination of refractive state, should not be reported in conjunction with codes 99174 and 99177. Although the technologies and method of analyses represented in codes 99174 and...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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