tci Part B Insider - 2009 Issue 5

READER QUESTION: Differentiate Glaucoma Patient Coding Rules Based on Whether SNF Is Involved

If the patient comes to your practice from a skilled nursing facility, consolidated billing rules might apply. Question: How should I code an office visit for a wheelchairbound nursing home patient who presented to our practice for a follow-up for glaucoma? Answer: Physicians often have to follow up with glaucoma patients because of medications or postsurgical concerns. Many practices differ in their coding method for follow-up visits, using either E/M codes or eye codes. Both sets are acceptable as long as they accurately depict the service. The decision usually depends on the physician's preference. Some practices choose the eye...

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