tci Part B Insider - 2015 Issue 14

Part B Coding Coach: Make Sure Your Extended Ophthalmoscopy Claims Stand Up to Audits

Review this FAQ and get to know some of the common extended ophthalmoscopy tripping points. Coding experts agree that extended ophthalmoscopy claims are among the most heavily audited. Most eye exams will include some sort of ophthalmoscopy, but payers are prone to consider them part of the general ophthalmic exam or E/M code.  There are cases, though, where you’re justified in reporting EO separately. Our experts provide answers to the following frequently asked questions to make sure you’re not missing out on EOs you could rightfully report. Question 1: When does ophthalmoscopy qualify as “extended&rdquo...

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