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A discussion thread on the AAPC website about the coding and billing of 99173, a CPT code for vision screening. Users share their experiences, questions and answers on different payers' policies and guidelines for this code.
CPT 99173 is a code used for screening tests of visual acuity, quantitative, bilateral. This article will cover topics such as the description, procedure, qualifying circumstances, when to use the code, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 99173 procedures.
CPT Code 99173 is a medical procedural code for checking the eyesight of a pediatric patient by asking him to read letters on a chart. Learn the code details, billing tips, forum discussions and news articles on Codify by AAPC.
CPT ® code 99173 (Screening test of visual acuity, quantitative, bilateral), on the other hand, is very typically used for pediatric vision screenings. Per the CPT ® instructions for the code, providers usually perform this screen using a Snellen chart, the familiar eye chart that features letters in rows of descending size.
Procedure code and Description 99173 Screening test of visual acuity, quantitative, bilateral. 99174 Instrument-based ocular screening. 99199 - Unlisted special service, procedure or report. 99183 - Physician attendance and supervision of hyperbaric oxygen therapy, per session.
o CPT code 99173 identifies visual acuity testing. o To ensure payer coverage, verify benefits for 99174/99177 prior to scheduled appointment. If a patient's insurer doesn't cover photoscreening, you can: • Submit a claim to the patient's insurance, but provide an Advance Beneficiary Notice (ABN) that
considers CPT 99173 to be a non-covered service. Applicable Codes CPT Codes Descriptions 99173 Screening test of visual acuity, quantitative, bilateral . Sources 1. Current Procedural Termnoli ogy (CPT®), (2014) - Amercan Medical Assocaton 2. Test Overview - Vision Tests, A-Z Health Guide from WebMD; Medical Tests, July 27, 2006.
Learn how much pediatric vision screening (CPT 99173) is reimbursed by different payers and modifiers. See graphs and tips on how to optimize your coding and income.
Article Text. This article gives guidance for billing, coding, and other guidelines in relation to local coverage policy L34394-Visual Fields Testing.. General Guidelines for Claims submitted to Part A or Part B MAC:
Code 99173 may be billed along with the preventive medicine codes (99381-99385 and 99391-99395) to ensure adequate reimbursement for vision screenings. For example, a 3-year-old established patient comes in for a checkup (99392, ...