Diagnostic Tools And Cases

Question 1

Step one of stages of glaucoma and coding

Answer 1

Code by type

Question 2

Mild glaucoma

Answer 2

Nerve damage without VF loss

Question 3

Moderate glaucoma

Answer 3

Nerve damage and early CF loss

Question 4

Advanced glaucoma

Answer 4

Nerve damage and severe field loss

Question 5

Pahycmetry billing

Answer 5

Once in a life time

-unless corneal trauma and surgery

Question 6

Gonioscopy billion

Answer 6

No limits, but need justification as to why

As needed basis

Question 7

VF billing: glaucoma suspect

Answer 7

Once a year

Question 8

Controllers glaucoma HVf billing

Answer 8

Once a year

Question 9

Uncontrolled glaucoma HVF billing

Answer 9

Twice a year, 3x a year for unusual cases

Question 10

How can you bill HVF more frequently for glaucoma

Answer 10

Based on
-severity of glauvcomatous daamge
-the disease progression
-the extent to which the IOP exceeds the target pressure
0the number and significance of other risk factors for damage to the optic nerve
-the reliability of the test

Question 11

OCT billing: mild glaucoma

Answer 11

One per year

Question 12

Moderate OCT billing

Answer 12

Up to two tests per year

Question 13

Severe glaucoma and OCT billing

Answer 13

Most insurers insist that scanning OCT is rarely necessary or beneficial

Question 14

Retinal disorders OCt billing

Answer 14

Up to 4x per year

Question 15

Mac degeneration OCT billing

Answer 15

Up to one test per eye per month