Medical Billing Forum

Coding => Coding => Topic started by: sjholb on June 28, 2013, 04:23:34 PM

Title: Hypertensive Retinopathy Billing Optometry
Post by: sjholb on June 28, 2013, 04:23:34 PM

What clinical signs do you need to bill for hypertensive retinopathy?

I was working with a Doc that was billing. OCT and extended opthalmoscopy and photos for patients that had initial signs. Like A/V nicking and low A/V and high ALR. The patients were already diagnosed with hypertension from their PCP.  There were no bleeds or hemes. Is this enough to bill? Will I get in trouble if audited?

Thank you
Title: Re: Hypertensive Retinopathy Billing Optometry
Post by: sjholb on July 08, 2013, 07:32:10 PM
Hello... Am I posting this is the wrong section?
Title: Re: Hypertensive Retinopathy Billing Optometry
Post by: PMRNC on July 09, 2013, 08:13:42 AM
This is a pretty specific clinical question on signs and documentation that no one here can  and shouldn't be answering. Your job as a biller is to bill what the physicians gives you and his job is to code or have a Certified Coder code from the medical record itself. As a biller you should be looking for obvious problems or mistakes that don't require the actual medical / clinical record. If your provider is giving you this to do coding and you are not an experienced and/or certified coder it's best to hand it back to him to look over.

Your question was this:
Quote
"What clinical signs do you need to bill for hypertensive retinopathy"

Your provider should know what "clinical signs" should be documented. If it's not documented, it's not done, not done, no code.