Question
HI ALICE, I WORK FOR A OPTOMETRIST IN NEW HAMPSHIRE, WE HAVE A PATIENT WITH A CORNEAL ABRASION, WE NEED TO BANDAGE EYE, WE HAVE A CODE IN SYSTEM 92070, WHICH WE HAVE IN AS BANDAGE CONTACT-MEDICALLY NESS, INSURANCE NEVER PAYS ON THIS CODE, I CHANGED THE CODE TO READ BANDAGE LENS-MEDICALLY NESS, I WILL TRY TO SEND IT WITH THAT DESCRIPTION, AM I USING THE CORRECT CODE? IS THERE A BETTER CODE TO USE ? I WOULD APPRECIATE YOUR HELP,
THANK YOU, LINDA
Answer
Hi Linda,
The 92070 seems to be the only appropriate code for the service you are performing. Many insurance plans do not allow this code so the only thing I can recommend is that you attach the patient’s notes to the claim with a brief explanation that the eye was bandaged due to corneal abrasion and it was medically necessary. There is no guarantee that they will pay, even with the explanation and notes.
Good luck
Alice