Optometry and Opthalmology
Transcript of Optometry and Opthalmology
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2010 UBO/UBU Conference
Title: Optometry & Ophthalmology Coding
Session: T-3-1630
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!i"#al $ield"http%//'ingcom/image"/"earch()*limited+vi"#al+field+e,am+finding"&vie*detail&id*.363
B3B6333336034B6240$&fir"t*1&$O5*7$575 1/2/113
http://www.bing.com/images/search?q=limited+visual+field+exam+findings&view=detail&id=483D63B4437D7B634D33A3A3E9AD6035B694250F&first=1&FORM=IDFRIRhttp://www.bing.com/images/search?q=limited+visual+field+exam+findings&view=detail&id=483D63B4437D7B634D33A3A3E9AD6035B694250F&first=1&FORM=IDFRIRhttp://www.bing.com/images/search?q=limited+visual+field+exam+findings&view=detail&id=483D63B4437D7B634D33A3A3E9AD6035B694250F&first=1&FORM=IDFRIRhttp://www.bing.com/images/search?q=limited+visual+field+exam+findings&view=detail&id=483D63B4437D7B634D33A3A3E9AD6035B694250F&first=1&FORM=IDFRIR
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!i"#al $ield" 8 9otential iagno"e"
IC!"
# 3$%&'(: Visual )ield de)ect*
unspeci)ied
# 3$%&'+: Scotoma in,ol,ing
central area
# 3$%&'2: Scotoma o) -lind spot
area
# 3$%&'3: Sector o) arcuatede)ects
# 3$%&'': Other locali.ed ,isual
)ield de)ect
# 3$%&'/: 0enerali.ed
contraction or constriction # 3$%&'$: 1omonymous -ilateral
)ield de)ects
# 3$%&': 1eteronymous
-ilateral )ield de)ects
IC!+(
# 1/3&'( nspeci)ied ,isual )ield
de)ects
# 1/3&'++! 1/3&'+": Scotoma
in,ol,ing central area
# 1/3&'2+ # 1/3&'2": Scotoma
o) -lind spot area
# 1/3&'3+ # 1/3&'3": Sector orarcuate de)ects
# 1/3&'/+ # 1/3&'/": Other
locali.ed ,isual )ield de)ect
# 1/3&'$+ # 1/3&'$":
1omonymous -ilateral )ield
de)ects
# 1/3&': 1eteronymous -ilateral
)ield de)ects
# 1/3&'%+ # 1/3&'%":
0enerali.ed contraction o)
,isual )ield'
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!i"#al $ield Terminology
9erimetry% 4 test in 5hich a topographic 6map7 is created o) the
,isual )ield* to diagnose and e,aluate diseases o) optic ner,e* retina*and neuroophthalmic 0oldmann perimetry8 uses -oth stationary#
static light sources o) increasing intensity and mo,ing light sources
to delineate the ,isual )ield* de)ects o) 5hich can -e either central or
peripheral # 9c0ra5!1ill Concise ictionary o) 9odern 9edicine& 2((2 -y The 9c0ra5!1ill Companies* Inc&8
http:;;medical!dictionary&the)reedictionary&com;perimetry +;2;++
:tatic perimetry% 9easurement o) the ,isual )ield 5ith a target that
can -e ,aried in dimension and luminance& The target can -e
presented in any part o) the ,isual )ield # 9illodot: ictionary o) Optometry and Visual Science* th edition& 2(("
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;imited !i"#al $ield ,am
"2(%+: Visual )ield examination* unilateral or -ilateral* 5ith
interpretation and report8 limited examination >e&g&* tangentscreen* 4utoplot* arc perimeter* or single stimulus le,el
automated test* such as Octopus 3 or e=ui,alent?
$
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Tangent :creen !i"#al $ield
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;imited !i"#al $ield
Image Source Page:
http:;;5e-eye&ophth&uio5a&edu;ips;Perim
etry1istory;3!perimeter&htm +;2;++
http:;;555&hudsoneyemd&com;images;Octo
pus@2(,isual@2()ield&gi) +;2%;++
%
http://webeye.ophth.uiowa.edu/ips/PerimetryHistory/3-perimeter.htmhttp://webeye.ophth.uiowa.edu/ips/PerimetryHistory/3-perimeter.htmhttp://www.hudsoneyemd.com/images/Octopus%20visual%20field.gifhttp://www.hudsoneyemd.com/images/Octopus%20visual%20field.gifhttp://www.hudsoneyemd.com/images/Octopus%20visual%20field.gifhttp://www.hudsoneyemd.com/images/Octopus%20visual%20field.gifhttp://webeye.ophth.uiowa.edu/ips/PerimetryHistory/3-perimeter.htmhttp://webeye.ophth.uiowa.edu/ips/PerimetryHistory/3-perimeter.htm
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7ntermediate !i"#al $ield ,am
"2(%2: Visual )ield examination* unilateral or -ilateral* 5ith
interpretation and report* intermediate examination >e&g&* atleast 2 isopters on 0oldmann perimeter* or
semi=uantitati,e* automated suprathreshold screening
program* 1umphrey suprathreshold automatic diagnostic
test* Octopus program 33?
"
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7ntermediate !i"#al $ield
+(
http:;;555&glaucoma!eye!in)o&com;images;Perimeter!chart&gi) +;2%;++
http://www.glaucoma-eye-info.com/images/Perimeter-chart.gifhttp://www.glaucoma-eye-info.com/images/Perimeter-chart.gif
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,tended !i"#al $ield ,am
"2(%3: Visual )ield examination* unilateral or -ilateral* 5ith
interpretation and report* extended examination >e&g&* 5ithat least 3 isopters plotted and static determination 5ithin
the central 3( degrees* or =uantitati,e* automated
threshold perimetry* Octopus program 0!+* 32* or '2*
1umphrey ,isual )ield analy.er )ull threshold programs 3(!2* 2'!2* or 3(;$(!2?
++
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=#mphrey !i"#al $ield
Image Source Page:http://www.ammaieehospital.com/special!ee!care!"acilities.html
Image Source Page:http://www.ees2sea.com.au/#ontent$#ommon/inde%.asp%Id'70(70)(0!2*+,!-!+)#!(1(,7*+01)
+3
http://www.ammayieyehospital.com/special-eye-care-facilities.htmlhttp://www.ammayieyehospital.com/special-eye-care-facilities.htmlhttp://www.eyes2sea.com.au/Content_Common/index.aspx?Id=70D70AD0-26BE-4F51-B5AC-D58DE76B081Ahttp://www.eyes2sea.com.au/Content_Common/index.aspx?Id=70D70AD0-26BE-4F51-B5AC-D58DE76B081Ahttp://www.eyes2sea.com.au/Content_Common/index.aspx?Id=70D70AD0-26BE-4F51-B5AC-D58DE76B081Ahttp://www.eyes2sea.com.au/Content_Common/index.aspx?Id=70D70AD0-26BE-4F51-B5AC-D58DE76B081Ahttp://www.eyes2sea.com.au/Content_Common/index.aspx?Id=70D70AD0-26BE-4F51-B5AC-D58DE76B081Ahttp://www.eyes2sea.com.au/Content_Common/index.aspx?Id=70D70AD0-26BE-4F51-B5AC-D58DE76B081Ahttp://www.ammayieyehospital.com/special-eye-care-facilities.htmlhttp://www.ammayieyehospital.com/special-eye-care-facilities.html
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oc#menting !i"#al $ield ,am"
413 oc#mentation 5e)#irement" for ll
9roced#ral 7nterpretation and 5eport # 4lthough the interpretation does not ha,e to -e a separate page*
the summary o) the )indings must contain su))icient detail that a
conclusion o) the signi)icance o) the )indings can -e made&
# ocumentation must include a descripti,e summary& Simply
clicing the procedure in 41T4 is not ade=uate documentation
to support coding o) a procedure&
Ghat 5ould -e appropriate documentationA # Copy o) ,isual )ield report )rom de,ice
# Pro,ider7s interpretation o) de,ice report;printout in 41T4*including note5orthy )indings* relia-ility o) test* changes )rom
prior ,isual )ield exam
+'
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http:;;555&superstoc&com;stoc!photos!images;+/"! 2;+;++
Color !i"ion
http://www.superstock.com/stock-photos-images/1597-http://www.superstock.com/stock-photos-images/1597-
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Color !i"ion 8 9otential iagno"e"
IC!" # 3$%&/+: Protan e)ect
# 3$%&/2: eutan e)ect
# 3$%&/3: Tritan e)ect
# 3$%&/': 4chromatopsia
# 3$%&//: 4c=uired color,ision de)iciencies
# 3$%&/": Other color ,ision
de)iciencies
IC!+( # 1/3&/(: nspeci)ied color
,ision de)iciencies >Color
-lindness HOS?
# 1/3&/+: 4chromatopsia
# 1/3&/2: 4c=uired color
,ision de)iciency
# 1/3&/3: euteranomaly
# 1/3&/': Protanomaly
# 1/3&//: Tritanomaly
# 1/3&/": Other color ,isionde)iciencies
+$
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"22%3: Color ,ision examination* extended* e&g&*
anomaloscope or e=ui,alent # Color ,ision testing 5ith pseudoisochromatic plates >such as
1 or Ishihara? is not reported separately& It is included in the
appropriate general or ophthalmological ser,ice* or ""+2&
""+2: Visual )unction screening* automated or semi!automated -ilateral =uantitati,e determination o) ,isual
acuity* ocular alignment* color ,ision -y
pseudoisochromatic plates* and )ield o) ,ision >may
include all or some screening o) the determination>s? )or
contrast sensiti,ity* ,ision under glare? # This ser,ice must employ graduated ,isual acuity stimuli that
allo5 a =uantitati,e determination o) ,isual acuity >e&g&* Snellen
chart?& This ser,ice may not -e used in addition to a general
ophthalmological ser,ice or an E;9 ser,ice
Color !i"ion Te"ting
+
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Image Source Page:http://www.roinsonscamera.com/color$lindness$test.htm /27/
Ishihara 3PIP4 5est
Image Source Page:http://www.ute%as.edu/nursing/simla/html/picture/inde%.h
tml /27/
Image Source Page: http://www.caleecare.org/vision"unctions.html /27/
Color !i"ion Te"ting
+%
http://www.robinsonscamera.com/color_blindness_test.htmhttp://www.robinsonscamera.com/color_blindness_test.htmhttp://www.utexas.edu/nursing/simlab/html/picture/index.htmlhttp://www.utexas.edu/nursing/simlab/html/picture/index.htmlhttp://www.caleyecare.org/visionfunctions.htmlhttp://www.caleyecare.org/visionfunctions.htmlhttp://www.utexas.edu/nursing/simlab/html/picture/index.htmlhttp://www.utexas.edu/nursing/simlab/html/picture/index.htmlhttp://www.robinsonscamera.com/color_blindness_test.htmhttp://www.robinsonscamera.com/color_blindness_test.htm
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Image Source Page:http://wevision.med.utah.edu/6all#olor.html
Image Source Page:http://retina.umh.es/wevision/kallcolor.html
Image Source Page:http://www.e!m"p.org/2001vn2/,thamutol$ocular$to%icit2.html
Image Source Page: http://www.imotec.com/products/2*/
Color !i"ion Te"ting
+"
http://webvision.med.utah.edu/KallColor.htmlhttp://webvision.med.utah.edu/KallColor.htmlhttp://retina.umh.es/webvision/kallcolor.htmlhttp://www.e-mfp.org/2008v3n2/Ethambutol_ocular_toxicity2.htmlhttp://www.e-mfp.org/2008v3n2/Ethambutol_ocular_toxicity2.htmlhttp://www.imbotec.com/products/126/http://www.imbotec.com/products/126/http://www.e-mfp.org/2008v3n2/Ethambutol_ocular_toxicity2.htmlhttp://www.e-mfp.org/2008v3n2/Ethambutol_ocular_toxicity2.htmlhttp://retina.umh.es/webvision/kallcolor.htmlhttp://webvision.med.utah.edu/KallColor.htmlhttp://webvision.med.utah.edu/KallColor.html
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Color !i"ion Te"ting 8 nomalo"cope
Image Source Page:http://www.colourmed.com/tests.html
2(
http://www.colourmed.com/tests.htmlhttp://www.colourmed.com/tests.html
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Color !i"ion Te"ting
ocumenting results:
# Ishihara: J missed o,er J tested >+'?
# F44HT: Pass;Fail
# +/* F9!+((: Should include scoring sheets and
pro,ider documents interpretation o) )indings
# 4nomaloscope: Hotation o) )indings and pro,ider7s
interpretation
2+
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22
:en"orimotor Te"ting
http:;;555&optomshop&co&u;stereo)lytest&htm 2;+;++
http://www.optomshop.co.uk/stereo_fly_test.htmhttp://www.optomshop.co.uk/stereo_fly_test.htm
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IC!" # 3$&/+: Paresis o) accommodation
# 3$&/2: Total or complete internal ophthalmoplegia
# 3$&/3: Spasm o) accommodation
# 3$%&((: 4m-lyopia* unspeci)ied
# 3$%&(+: Stra-ismic am-lyopia
# 3$%&(2: epri,ation am-lyopia
# 3$%&2: iplopia
# 3$%&3(:
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:en"orimotor Te"ting 8 9otential iagno"e"
IC!+( # 1/(&(xxx: Esotropia
# 1/(&+xxx: Exotropia
# 1/(&2x: Vertical stra-ismus
# 1/(&3xxx: Intermittent heterotropia
# 1/(&'xxx: Other D unspeci)ied heterotropia
# 1/(&/xx: 1eterophoria
# 1/(&$xxx: 9echanical stra-ismus
# 1/(&%xxx: Other speci)ied stra-ismus
# 1/(&": nspeci)ied stra-ismus
# 1/+&(: Palsy o) conKugate ga.e
# 1/+&+x: Con,ergence insu))iciency D excess
# 1/+&2x: Internuclear ophthalmoplegia
# 1/+&%: Other speci)ied disorders o) -inocular mo,ement
# 1/+&": nspeci)ied disorder o) -inocular mo,ement
# 1/3&(xx: 4m-lyopia
# 1/3&2: iplopia
# 1/3&3x: Other and unspeci)ied disorders o) -inocular ,ision
2'
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"2($(: Sensorimotor examination 5ith multiplemeasurements o) ocular de,iation >e&g&* restricti,e or
paretic muscle 5ith diplopia? 5ith interpretation and
report >separate procedure?
4 good de)inition )or sensorimotor testing: # Lmultiple measurements o) ocular de,iations 5ith interpretationand report& It includes measurement o) ocular alignment in more
than one )ield o) ga.e at distance and;or near >primary* up*
do5n* le)t and right ga.e? and inclusion o) at least one
appropriate sensory test in patients 5ho are a-le to respond
>andot or Titmus test?M http:;;555&medrounds&org;ophthalmology!pearls;2((";(";cpt!code!"2($(!sensorimotor
!examination&html +;2;++
:en"orimotor Te"ting
2/
http://www.medrounds.org/ophthalmology-pearls/2009/09/cpt-code-92060-sensorimotor-examination.htmlhttp://www.medrounds.org/ophthalmology-pearls/2009/09/cpt-code-92060-sensorimotor-examination.htmlhttp://www.medrounds.org/ophthalmology-pearls/2009/09/cpt-code-92060-sensorimotor-examination.htmlhttp://www.medrounds.org/ophthalmology-pearls/2009/09/cpt-code-92060-sensorimotor-examination.html
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Image Source Page:http://www.guldenophthalmics
.com/ccp7/Stereo!l!)cuit! 5est
Image Source Page:
http://o"tall!articulos.ha8log.com/)rticulos!/)rticulos!
Image Source Page:http://www.hakeem!s.com/main/node/2-21
:en"orimotor Te"ting
2$
http://www.guldenophthalmics.com/ccp7/Stereo-Fly-Acuity-Testhttp://www.guldenophthalmics.com/ccp7/Stereo-Fly-Acuity-Testhttp://www.guldenophthalmics.com/ccp7/Stereo-Fly-Acuity-Testhttp://oftall-articulos.hazblog.com/Articulos-b1/Articulos-b1/Adaptaciones-Sensoriales-En-Estrabismo-Infantil-b1-p52.htmhttp://oftall-articulos.hazblog.com/Articulos-b1/Articulos-b1/Adaptaciones-Sensoriales-En-Estrabismo-Infantil-b1-p52.htmhttp://oftall-articulos.hazblog.com/Articulos-b1/Articulos-b1/Adaptaciones-Sensoriales-En-Estrabismo-Infantil-b1-p52.htmhttp://www.hakeem-sy.com/main/node/24238http://www.hakeem-sy.com/main/node/24238http://www.hakeem-sy.com/main/node/24238http://www.hakeem-sy.com/main/node/24238http://www.hakeem-sy.com/main/node/24238http://www.hakeem-sy.com/main/node/24238http://oftall-articulos.hazblog.com/Articulos-b1/Articulos-b1/Adaptaciones-Sensoriales-En-Estrabismo-Infantil-b1-p52.htmhttp://oftall-articulos.hazblog.com/Articulos-b1/Articulos-b1/Adaptaciones-Sensoriales-En-Estrabismo-Infantil-b1-p52.htmhttp://oftall-articulos.hazblog.com/Articulos-b1/Articulos-b1/Adaptaciones-Sensoriales-En-Estrabismo-Infantil-b1-p52.htmhttp://www.guldenophthalmics.com/ccp7/Stereo-Fly-Acuity-Testhttp://www.guldenophthalmics.com/ccp7/Stereo-Fly-Acuity-Testhttp://www.guldenophthalmics.com/ccp7/Stereo-Fly-Acuity-Test
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Image Source Page:
http:;;students&cis&ua-&edu;alK+(+3;O
cular9otility&html +;2;++
Image Source Page:
http:;;555&mrcophth&com;)inalmrcophthm
c=ss;'+&html +;2;++
:en"orimotor Te"ting
2
http://students.cis.uab.edu/alj1013/OcularMotility.htmlhttp://students.cis.uab.edu/alj1013/OcularMotility.htmlhttp://www.mrcophth.com/finalmrcophthmcqss/41.htmlhttp://www.mrcophth.com/finalmrcophthmcqss/41.htmlhttp://www.mrcophth.com/finalmrcophthmcqss/41.htmlhttp://www.mrcophth.com/finalmrcophthmcqss/41.htmlhttp://students.cis.uab.edu/alj1013/OcularMotility.htmlhttp://students.cis.uab.edu/alj1013/OcularMotility.html
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:en"orimotor Te"ting
ocumenting sensorimotor testing
# andot ;+(
# 9addox +( 17
# LTic!tac!toeN )ormat representing di))erent )ields o)
ga.e
# Hum-er o) rings or 5ings on Titmus test correctly
o-ser,ed
# Gorth ' dot # 5hich lights 5ere o-ser,ed
#
Co,er;unco,er test results
2%
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Corneal Topography
2"
Image Source Page:http://www.urmc.rochester.edu/ee!institute/lasik/technolog/orscan!corneal!topographer.c"m /27/
C l T h
http://www.urmc.rochester.edu/eye-institute/lasik/technology/orbscan-corneal-topographer.cfmhttp://www.urmc.rochester.edu/eye-institute/lasik/technology/orbscan-corneal-topographer.cfm
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"2(2/: Computeri.ed corneal topography* unilateral or
-ilateral* 5ith interpretation and report # >o not report "2(2/ in conKunction 5ith $/+( #
$/+?
# >"2(2/ is not used )or manual eratoscopy* 5hich is
part o) a single system E,aluation and 9anagementor ophthalmological ser,ice?
ocumentation Tips:
# Computeri.ed printout
# Pro,ider7s )indings;interpretation o) printout
# Test relia-ility
3(
Corneal Topography
C l T h 9 i l i
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Corneal Topography 8 9otential iagno"e"
IC!"
# 3(&(x: Corneal lcer # 3+&2x: Corneal edema
# 3+&3x: Changes o) corneal
mem-ranes
# 3+&'x: Corneal
degenerations # 3+&/x: 1ereditary corneal
dystrophies
# 3+&$x: eratoconus
# 3+&x: Other corneal
de)ormities
# 3+&%x: Other corneal
disorders
IC!+(
# 1+%&+x:
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Image Source Page:http://www.osnsupersite.com/view.asprid'717
/27/
Image Source Page: http://eewiki.aao.org/6eratoconus
/27/
Corneal Topography
32
http://www.osnsupersite.com/view.asp?rid=17873http://eyewiki.aao.org/Keratoconushttp://eyewiki.aao.org/Keratoconushttp://www.osnsupersite.com/view.asp?rid=17873
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Oc#lar 9hotography
http:;;555&ops5e-&org;OpPhoto;Extern;9otility;9otility2&html 2;+;++
33
O l 9h t h
http://www.opsweb.org/OpPhoto/Extern/Motility/Motility2.htmlhttp://www.opsweb.org/OpPhoto/Extern/Motility/Motility2.html
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Codes:
# "22/(: Fundus photography 5ith interpretation and report # "22%/: External ocular photography 5ith interpretation and
report )or documentation o) medical progress >e&g&* close!up
photography* slit lamp photography* goniophotography* stereo!
photography?
# "22%$: Special anterior segment photography 5ith interpretation
and report8 5ith specular endothelial microscopy and cell count
ocumenting interpretation;report # Photos included
# Hote5orthy )indings* changes )rom pre,ious exam* etc&
Oc#lar 9hotography
3'
O l 9h t h
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Image Source Page:http://www.9hu.edu/wct/coms/patient/photog/"undusa.htm
Image Source Page:http://emedicine.medscape.com/article/221*1!overview
Image Source Page:http://weee.ophth.uiowa.edu/ee" orum/tutorials/photog
Image Source Page:http://www.cuttingedgecnc
.com/digcam!mt.htm
Image Source Page:
http://drsool.com/(e"ault.asp%logentrid'
Oc#lar 9hotography
3/
http://www.jhu.edu/wctb/coms/patient/photog/fundus1a.htmhttp://www.jhu.edu/wctb/coms/patient/photog/fundus1a.htmhttp://emedicine.medscape.com/article/1228681-overviewhttp://emedicine.medscape.com/article/1228681-overviewhttp://webeye.ophth.uiowa.edu/eyeforum/tutorials/photography.htmhttp://webeye.ophth.uiowa.edu/eyeforum/tutorials/photography.htmhttp://www.cuttingedgecnc.com/digcam-mt.htmhttp://www.cuttingedgecnc.com/digcam-mt.htmhttp://drsobol.com/Default.aspx?blogentryid=33http://drsobol.com/Default.aspx?blogentryid=33http://www.cuttingedgecnc.com/digcam-mt.htmhttp://www.cuttingedgecnc.com/digcam-mt.htmhttp://webeye.ophth.uiowa.edu/eyeforum/tutorials/photography.htmhttp://webeye.ophth.uiowa.edu/eyeforum/tutorials/photography.htmhttp://emedicine.medscape.com/article/1228681-overviewhttp://emedicine.medscape.com/article/1228681-overviewhttp://www.jhu.edu/wctb/coms/patient/photog/fundus1a.htmhttp://www.jhu.edu/wctb/coms/patient/photog/fundus1a.htm
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,tended Ophthalmo"copy
http:;;555&-ing&com;images;searchA
=BExtendedophthalmoscopyD,ie5BdetailDidB++3F(($C3("
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"222/: Ophthalmoscopy* extended* 5ith retinal dra5ing
>e&g&* )or retinal detachment* melanoma?* 5ithinterpretation and report* initial
""22$: Ophthalmoscopy* extended* 5ith retinal dra5ing
>e&g&* )or retinal detachment* melanoma?* 5ith
interpretation and report* su-se=uent
,tended Ophthalmo"copy
3
,tended Ophthalmo"copy
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612.1 Ophthalmo"copy
# Extended >"222/? and su-se=uent >"222$? ophthalmoscopy areconsidered reasona-le and necessary ser,ices )or e,aluation o) tumors
o) the retina and choroid >the tumor may -e too peripheral )or an
accurate photograph?* retinal tears* detachments* hemorrhages*
exudati,e detachments* and retinal de)ects 5ithout detachment* as 5ell
as other ocular de)ects 5hen the patient7s medical record meets the
documentation re=uirements set )orth in this policy& These codes arereser,ed )or the meticulous e,aluation o) the eye and detailed
documentation o) a se,ere ophthalmologic pro-lem 5hen photography
is not ade=uate or appropriate
612.2 $re)#ency of :ervice
# Fre=uency )or pro,iding these ser,ices depends on the medicalnecessity o) each patient and this* o) course* relates to the diagnosis& 4
serious retinal condition must exist or -e suspected* -ased on routine
ophthalmoscopy* 5hich re=uires )urther detailed study
,tended Ophthalmo"copy
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612.3 edical >ece""ity
# In all instances* extended ophthalmoscopy must -e medicallynecessary& It must add in)ormation not a,aila-le )rom the
standard e,aluation ser,ices or in)ormation that 5ill
demonstra-ly a))ect the treatment plan& It is not medically
necessary* )or example* to con)irm in)ormation already a,aila-le
-y other means
,tended Ophthalmo"copy
3"
,tended Ophthalmo"copy
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612. a?or Criteria
# These criteria must -e met: 4 serious retinal condition is present -ased on ophthalmoscopy*
5hich re=uires )urther study* such as the detailed study o) pre!retinal
mem-rane* a retinal tear detachment* a suspected retinal tear 5ith
sudden onset o) symptomatic )loaters or ,itreous hemorrhage
4nother diagnostic techni=ue in addition to routine direct and indirect
ophthalmoscopy is necessary and documented8 )or example 3$(Q
scleral depressions* )undus contact lens* or "(!diopter lens
The techni=ue and )indings o) the extended ophthalmoscopy must
-e documented* including a three!dimensional representation or an
extended colored retinal dra5ing& Setches and templates are not
accepta-le& The documentation o) )ollo5!up ser,ices >"222$? mustinclude an assessment o) the change )rom pre,ious examinations
ocumentation supporting the medical necessity o) this item* such
as IC!" codes* must -e su-mitted 5ith each encounter
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,tended Ophthalmo"copy
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5eference"
CPT 2(++ Pro)essional Edition* 4merican 9edical
4ssociation IC!"*
IC!+(
91S Coding 0uidelines* 2(++