What is procedure code 99172?

visual function screening
CPT codes 99172 (visual function screening) and 99173 (visual acuity screening) are examinations considered to be an integral part of an office visit or well-child visit.

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Does CPT code 99173 need a modifier?

99173 with an E/M service When billing for a separately identifiable service on the same date as an E/M service, the modifier −25 should be appended to the E/M code (for instance, 99213-25.) Payers may choose to bundle code 99173 with the E/M service despite the correct modifier usage.

What is the difference between 99173 and 99177?

CPT code 99177 is now available for the use of photoscreening devices that produce an immediate result in the office, enabling pediatricians to seek payment for its use. CPT 99174 is for use following remote interpretation of the images. CPT code 99173 is specific for visual acuity screening using an eye chart.

Is 99173 covered by Medicare?

99173 is covered by Medicare, it’s just limited coverage meaning it can be upstaged by a higher RVU service which it usually is.

Can 99214 and 99173 be billed together?

The 99214 has a modifier 25 attached to it. These codes do appear linked in the National Correct Coding Initiative edits but can be broken with a modifier 59 on the 99173.

How do you bill for vision screening?

CPT® 99177 is the code for Instrument-based ocular screening (e.g., photoscreening, automated-refraction), bilateral; with on-site analysis. This is the appropriate reimbursement code for devices that perform analysis with software only and do not use remote analysis by human analysts, like iScreen Vision.

What is the CPT code for a vision screening?

CPT® 99177 is the code for Instrument-based ocular screening (e.g., photoscreening, automated-refraction), bilateral; with on-site analysis.

What is Procedure Code 99173?

One routine eye exam every two years (once every 24 months) is covered for ages three and older.

Routine eye exams are covered for beneficiaries with diabetes.

No authorization or referral required if the service is performed by a network optometrist or ophthalmologist.

What are CPT codes and why are they important?

A complete description of the procedure or service (e.g.,describe in detail the skill and time involved.

A clinical vignette,which describes the typical patient and work provided by the physician/practitioner.

The diagnosis of patients for whom this procedure/service would be performed.

A copy(s) of peer reviewed articles published in the U.S.

Can CPT code 99173 be coded separately?

However, if a Eye Doctor does it; it is covered…. A CPT code 99173 may be reported separately when other identifiable services unrelated to this screening test (e.g., preventive medicine services) are provided at the same time.

Does Medicare cover 99173?

When a preventive medicine code and a visual screening service (99172, 99173) is provided for the same patient by the same physician or other health care professional on the same date of service, the visual function and acuity screening service is eligible for separate reimbursement.