tci Medicare Compliance & Reimbursement - 2023 Issue Q2

Part B Coding Coach: Vision Care: Sidestep Ophthalmoscopy Reporting Blunders With This Insight

Tip: Figure out which claims require a written interpretation of the retinal imaging. Despite new tools greatly enhancing providers’ options for treating eye conditions, diabetic retinopathy remains tricky to code. Context: Diabetic retinopathy is an eye condition that may develop in people with diabetes and uncontrolled hyperglycemia. If the retinopathy is not managed properly, it can lead to loss of vision. Fortunately, technological advances in the field of ophthalmology have made retinal imaging more widely available and spurred changes to the Special Ophthalmological Services subsection in the Medicine section of the CPT® 2021 code set. Just as coders were...

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