Medical Billing Forum
Coding => Coding => : sjholb June 28, 2013, 07:23:34 PM
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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
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Hello... Am I posting this is the wrong section?
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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: "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.