5 Key Takeaways

• 1

  Optometrists must adhere to specific requirements for timely reimbursement and to withstand Medicare audits for glaucoma care.

• 2

  Medicare discourages using multiple diagnostic tools on the same day to prevent perceived duplication of services.

• 3

  A new CPT code 92137 for OCT-A of the retina cannot be billed with other OCT codes due to NCCI edits.

• 4

  Interchanging CPT codes for OCT angle scans and pachymetry is not allowed and will not hold up in an audit.

• 5

  Thorough documentation of patient tests and treatment plans is essential for reimbursement and audit protection.