tci Outpatient Facility Coding Alert - 2017 Issue 2

Reader Question: Do This When You Provider Can't Confirm A Glaucoma Dx

Question: The provider suspected glaucoma in a patient with high intraocular pressure in the right eye. He performed a visual field (VF) examination to assess the patient for glaucoma. However, as the results of the visual field were normal, the provider ruled out the possibility of glaucoma. How do we code this scenario? Maine Subscriber Answer: As the result of the VF examination was negative, and the provider could not make a confirmed diagnosis of Glaucoma, you should report the signs and symptoms that prompted the exam, link the diagnosis code(s) to the applicable VF code, and include any...

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