John A. McGreal Jr., O.D. McGreal Educational Institute Missouri Eye ...

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• E/M GUIDELINES • New/Established Patient • Chief Complaint • History of Present Illness • Family History • Past History • Social History – New additions level of education, sexual history, marital status/living arrangements • Review of Systems • Time • E/M DESCRIPTORS • History * • Examination* • Medical Decision Making* • Counseling • Coordination of Care • Nature of the Presenting Problem • Time
• CATEGORIES OF SERVICE • Office Visits (E/M Codes) – New 99201-99205 – Estab 99211-99215 • Office Visits (<strong>Eye</strong> Codes) – New 92002-92004 – Estab 92012-92014 • Consultations (E/M Codes) – ELIMINATED for Medicare, Medicaid, Tricare and Medicare Advantage HMOs and when any of these are secondary payors – Can still be used for other commercial plans • SELECTING AN E/M LEVEL • Identify Category of Service • Identify Extent of History Taking • Identify Extent of Examination
Page 1 and 2: • John A. McGreal Jr., O.D. McGre
Page 3 and 4: examinations, ECG, cardiovascular b
Page 5 and 6: • Reduces the previous maximum ti
Page 7 and 8: membrane transplantation, multiple
Page 9 and 10: • 92132 - Scanning computerized o
Page 11 and 12: • V90.1 Embedded metal FB • V90
Page 13 and 14: • E/M codes represent 75% of erro
Page 15 and 16: • 92004 $ 562,906 • 92012 $ 551
Page 17: • Out of pocket - 35% • Respond
Page 21 and 22: • Established Patient (2 of 3) -
Page 23 and 24: • Psychiatric: Mood & Affect (Dep
Page 25 and 26: • Comprehensive Ophthalmological
Page 27 and 28: • Intermediate Ophthalmological S
Page 29 and 30: • They are useful when CPT does n
Page 31 and 32: • 92002 $71.68 92012 $75.83 • 9
Page 33 and 34: • Initial (-225) vs. Subsequent (
Page 35 and 36: • With specular endothelial micro
Page 37 and 38: • 371.32-33 folds or rupture in d
Page 39 and 40: • Computerized Corneal Topography
Page 41 and 42: - *367.22 must be accompanied by V4
Page 43 and 44: of glaucoma, glaucoma suspect and o
Page 45 and 46: • 224.4 Benign neoplasm of cornea
Page 47 and 48: • 996.51 Mechanical complication
Page 49 and 50: • 365.41-365.44 Glauc w chamber a
Page 51 and 52: • 743.57-743.58 Cong anomalies of
Page 53 and 54: • Scanning Computerized Ophthalmi
Page 55 and 56: • Correction Trichiasis 67820*
Page 57 and 58: • ICD-9 - 930.0 FB in cornea •
Page 59 and 60: - E1=left upper E3=right upper - E2
Page 61 and 62: - 52 Reduced service • Comanageme
Page 63 and 64: •Case Studies for Clinical Correl
Page 65 and 66: • Rx: Pataday QD / Cold Packs / A
Page 67 and 68: • CPT / ICD - 99213-25 / Abrasion
Page 69 and 70:
• CASE 9: Bacterial Keratitis •
Page 71 and 72:
- 92250 / Macular puckering (362.56
Page 73 and 74:
- 99213 / 92134 / 92082 (PHP) /(362
Page 75 and 76:
- 99213 or 92012 / (365.01) = $60.0
Page 77 and 78:
- 99212-25, 68761-E2, 68761-E4 / (3
Page 79:
- HIPAA Compliance Manual - PQRS Ca
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John A. McGreal Jr., O.D. McGreal Educational Institute Missouri Eye ...

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