Tips To Boost Your Contact Lens Revenue

Getting insurance claims paid for prescriptive medical devices like contact lenses is not easy

. Insurance carriers do not reimburse these quickly; however if you avoid a few common mistakes, your contact lens claims stand a better chance of getting rewards. Heres a quick guide to help you stay away from the pitfalls that you may face when filing a contact lens claim.

When an ophthalmologist instead of a technician provides contact lens prescription and fitting, you should select codes like 92310 and 92311.

For instance, for most patients, you should bill the initial fitting with code 92310. According to CPT guidelines, you should include optical and physical characteristic specification like power, size, curvature, flexibility and gas-permeability in the contact lens prescription service. According to the CPT manual, you shouldnt consider prescription a part of the general ophthalmological services. On the other hand contact lens fitting covers instructing and training the wearer. It is also inclusive of the incidental lens revision during the training period.

Coding options change for technicians

You need to be alert to whether you should bill contact lens procedures as bilateral or unilateral.

You should consider supply codes and charges.

For more tips on ways to boost your contact lens revenue, sign up for a one-stop medical coding website. When you sign up for one, you will have a CPT code look up tool that will allow you to do free search for CPT codes. Such a website also provides you with CPT Assistant to help you in your CPT coding.

by: James Article

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