Medical Billing Forum

Coding => Coding => Topic started by: Cmporter82 on September 21, 2012, 09:23:07 AM

Title: Desperate for help with Vision Therapy!!!!
Post by: Cmporter82 on September 21, 2012, 09:23:07 AM
Is anyone experienced with coding for Vision Therapy?  My doctor (Optometrist) has a separate Vision Therapy business.  That patients I need help with are the TBI patients.  I just started here a few weeks ago and I don't believe they are billing properly!  I have tried researching it, it just seems there is not a lot of information about Vision Therapy out there.  This is not Low Vision Therapy, this is Vision Restorative Therapy, like I said all the patients we bill insurance for are TBI patients. 

Each therapy session they are a billing:

92065 - Orthoptic and/or Pleoptic training, with continuing medical direction and evaluation.  This code I am fine with. 

AND

2 97530 (a 15 minute code) - Therapeutic activities, direct (one on one) patient contact by the provider (use of dynamic activities to improve functional performance). 

My question is...can we bill a 97xxx code if the techs are NOT OT/PT or Assistants?  Does the Vision Therapist (tech) need specific training, etc.  I want to make sure I approach the doctor with the correct information, he has been misled so many times in the past due to ignorance. 

Thank you sooo much!
Title: Re: Desperate for help with Vision Therapy!!!!
Post by: Michele on September 24, 2012, 10:20:21 AM
Try checking this it:  http://newsfromaoa.org/2012/03/15/consider-options-when-coding-vision-therapy/

I hope that is helpful.
Title: Re: Desperate for help with Vision Therapy!!!!
Post by: Cmporter82 on September 24, 2012, 11:37:49 AM
Thank you so much! :)  I did lots of research Friday and Saturday and that was one of the things I did find.  There's so much conflicting information.  I've contacted a few sources, hopefully they will be able to give me a bit more insight.  Thanks a ton!