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Extended Ophthalmoscopy & Fundus Photo
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Topic: Extended Ophthalmoscopy & Fundus Photo (Read 3110 times)
Gayle33
Newbie
Posts: 9
Extended Ophthalmoscopy & Fundus Photo
«
on:
January 26, 2016, 12:02:51 PM »
Is extended ophthalmoscopy 92225 & fundus photo 92250 covered procedures for E11.9 (diabetes w/out complications) and/or I10 (Hypertension) ?
Thank you
«
Last Edit: January 26, 2016, 04:18:09 PM by Gayle33
»
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Michele
Administrator
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Posts: 5927
Re: Extended Ophthalmoscopy & Fundus Photo
«
Reply #1 on:
January 26, 2016, 08:53:45 PM »
What insurance carrier? It may vary by plan.
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Gayle33
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Posts: 9
Re: Extended Ophthalmoscopy & Fundus Photo
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Reply #2 on:
February 12, 2016, 12:15:17 PM »
Medicare and Anthem B/C B/S
Thank you
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Michele
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Re: Extended Ophthalmoscopy & Fundus Photo
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Reply #3 on:
February 12, 2016, 01:35:14 PM »
I'm not sure about Anthem but with Medicare you will want to look for the LCD for both 92225 & 92250. The LCD will list what ICD codes are billable for those procedure codes. Go to your MAC website and go to the LCD section. Do a search for '92225' and '92250' and you should be able to find them. Our LCD for NY is:
http://www.mediquant.com/policy/L33567_20141001.pdf
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Medical Billing Forum
Re: Extended Ophthalmoscopy & Fundus Photo
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Reply #3 on:
February 12, 2016, 01:35:14 PM »
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Medical Billing Forum
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Coding
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Coding
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Alice Scott
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Michele
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Extended Ophthalmoscopy & Fundus Photo