99211 unbundled from tests

Why This Topic Matters

CCI edits can change whether services may be reported together, so practices need to know when billing workflows and documentation expectations are affected. The article highlights a version update with implications for ophthalmology coding compliance and audit risk.

Article Sections

1. CCI update for ophthalmology services

   Introduces a Correct Coding Initiative version change affecting ophthalmology billing and general reporting relationships between office services and ophthalmic testing.

2. Pressure checks and visual field testing

   Discusses billing considerations when a technician service and visual field testing occur in the same encounter, including the importance of medical necessity and physician order context.

3. Separate reporting of non-related services

   Covers a scenario involving a technician-performed eye test and a separate office service, with emphasis on documentation and diagnosis linkage in different clinical contexts.

4. Bundling of medical nutrition therapy with eye exam codes

   Notes a different edit involving medical nutrition therapy and ophthalmic examination services and describes its effect on separate reporting.