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99204 Optometry CPT Procedure

Check 99204 code meaning.

99204 Code Billing Description

LEVEL IV MEDICAL EXAM; NEW PATIENT

New Office

New patient; Evaluation and Management; Comprehensive history; Moderate complexity; Moderate to high severity

Optometry 99204 cpt procedure code. This code represents level iv medical exam; new patient, which can be important in diagnosing and managing various eye conditions.

Coding & billing practices have changed a lot either because of unawareness of new regulations or because of complexity of codes.

Coding for the optometric services has become seemingly complex, but keeping up with the latest policies and guidelines will ensure fewer coding and billing errors with a much higher probability of reimbursements resulting in greater profitability.

  • While generating the claims ensure that the primary diagnosis supports the CPT code.
  • A claims management system should be an important and integral part of your practice management system.
  • If your practice management system has built in ICD codes, ensure that there are some error-checking features to check the accuracy of the claims.
  • As an O.D., your practice should ensure that insurance billing is performed daily or at least weekly and not later than that.
  • Your front desk staff should check a patient's insurance eligibility and authorization from your practice management system before booking an appointment or proceeding to the examination room.]
  • If there are any glitches, you should explain the detailed charges to the patient. If their plan has a co-pay element, ensure that the payment is collected in full at the time of the service and not delayed.
This may contain CPT Optometry Codes and listed for Optometrists, please also check code description from AAA and AAO local services.

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