Coding for Binocular Vision and Pediatrics (F)

Question 1

What are the types of exams seen in the BV and Pediatric clinic?

Answer 1

1. Comprehensive Eye Exams for pediatric and mentally handicap patients
2. Urgent care/progress checks
3. Sensorimotor exams
4. Brain Injury exams
5. Visual Perceptual exams
6. Vision Therapy visits
7. Acuity checks for amblyopia

Question 2

What are the codes for an intermediate general exam?

Answer 2

1. 92002

2. 92012

Question 3

What are the codes for an comprehensive general exam?

Answer 3

1. 92004

2. 92014

Question 4

What is the code for refraction? 1. Modifier? 2

Answer 4

1. 92015

2. -22

Question 5

What codes are used for urgent care or progress checks?

Answer 5

99000

Question 6

What is the code for a sensorimotor exam? 1. What is needed for this code? 2

Answer 6

1. 92060

2. multiple measurements of ocular deviations with interpretation and report and accompanying E and M code

Question 7

What are the visual perceptual codes?

Answer 7

1. 96110
2. 96111
3. 96116

Question 8

What are the code options for vision therapy?

Answer 8

1. 92065 (orthoptic code)
2. 97xxx (physical medicine code)
3. 92499 (unlisted ophthalmological code)
4. 99xxx ( E and M code)

Question 9

What are the best physical medicine codes to use for VT?

Answer 9

1. 97112: neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception
2. 97530: use of dynamic activities to improve functional performance
3. 97533: sensory integration techniques to enhance sensory processing and promote adaptive responses to environmental demands (BEST)

Question 10

What is the best physical medicine code to use for VPT?

Answer 10

97532: development of cognitive skills to improve attention, memory, problem solving

Question 11

What are the requirements for documentation for a sensorimotor or VT exam?

Answer 11

1. Physician Prescription for Rehabilitation
2. Initial Evaluation and Plan of Care
3. Daily Progress Notes
4. Monthly Progress Notes
5. Discharge Summary
6. Duration and frequency of visits
7. Reason for vision therapy
8. Individual rehabilitation plan (IRP)

Question 12

When prescribing VT for a patient, what do you want to summarize?

Answer 12

1. Diagnosis
2. Patient symptoms and expectations
3. Number of prescribed therapy sessions and follow up
4. Initial therapy plan

Question 13

What is the code for convergence insufficiency? 1. Accommodative insufficiency? 2. Developmental disorder? 3. Amblyopia refractive? 4. Brain injuries? 5

Answer 13

1. H51.11
2. H52.52x
3. F series
4. H53.0xx
5. S and F series