Medical Billing

Optos offers four different ultra-widefield imaging systems: The P200, 200Dx, P200C and the P200Tx.  They each produce full color, high resolution images and capture details of nearly the entire fundus (optomap Retinal Exam and optomap plus Medical Retinal Exam) and the P200MA also produces ultra-widefield fluorescein angiography studies (optomap fa Angiography Procedure). 

The optomap Retinal Exam is a screening tool for the early detection of disease or abnormalities in the posterior segment of the eye in the context of preventative medicine and eye health and wellness. Screening is differentiated from other diagnostic procedure and not covered by Medicare and most third party payers, so the patient is financially responsible for the service.  For more details, please review the FAQsPDF developed by the Corcoran Consulting Group.

optomap plus Medical Retinal Exam expands on the basic screening exam using additional capabilities in the image capture and review process to facilitate the diagnosis and management of previously detected ocular pathology.  This procedure is indicated for medically necessary testing.  The optomap plus Medical Retinal Exam procedure is considered fundus photography (CPT 92250) and may be reimbursed by Medicare and other third party payers according guidelines established for fundus photography.  For more details, please review the FAQsPDF developed by the Corcoran Consulting Group.

The optomap fa Angiography Procedure is considered fluorescein angiography and is performed to detect abnormalities of retinal blood vessels.  This procedure (CPT 92235) may be reimbursed by Medicare and other third party payers according guidelines established for fluorescein angiography.  For more details, please review the FAQsPDF developed by the Corcoran Consulting Group.

For complete reimbursement details, please review the Reimbursement monographPDF developed by the Corcoran Consulting Group.

October 2014 EyeNet - Savvy Coder

Read the special highlight section where the authors cover optomap coding for testing services.

Coding for Optos Testing Services

 

Medical Coding and Billing Protocol

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Medical coding and Billing Protocol

Medical coding and Billing Protocol