Lesson Summary

This lecture dives deep into coding practices for A-scans and B-scans in the field of eye care, providing a comprehensive breakdown of the procedures and associated billing codes:

• For A-scans, the code 76519 is utilized to measure eye length before surgery at a cost of $68 per eye.
• Utilizing a modifier to signify both eyes can lead to enhanced payment.
• Regarding B-scans, the standard code is 76512, while an option is available for high-resolution devices.
• If both A- and B-scans are conducted during the same visit, a distinct code should be employed.

Overview of special testing in optometry, emphasizing diagnostic services that extend beyond routine eye examinations:

• Special testing encompasses procedures like OCTs, fundus photos, and pachymetry to gather additional information about a patient's condition.
• To execute and bill for these tests appropriately, the process involves ordering the test, performing it, compiling an interpretation and report, and specifying the test code during billing.
• Most special tests are governed by 92- codes, with exceptions such as ultrasound codes featuring distinct identifiers.
• Reimbursement for tests can be unilateral, bilateral, or specified as quote bilateral, necessitating modifiers to indicate the number of eyes tested.

Doctors much check with their regional payers for specific services as there may be regional variances in requirements and reimbursement. Dr Andreas furnishes examples of common special tests like OCTs, fundus photos, external ocular photos, and pachymetry, elucidating their respective codes, reimbursement figures, and instances where specific modifiers might be essential for accurate billing.