vision by wanghonghx

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									HIPAA Billing Training

    Billing for Vision
Appliances and Associated
         Services
         Basic Information
•Submit claims in the 837-P electronic
claim format or on HCFA-1500 paper
form, as appropriate. Services that
require attachments must be submitted
on paper.
•All prior authorization requirements
remain the same even though procedure
codes have changed.
•When more than one code is given
as a replacement, read the
descriptions in your HCPCS manual
and choose the appropriate code.
•Codes become effective on DOS
beginning 12/01/2003
• Priorauthorizations in place prior to
12/01/2003 do not need to be reissued
with the new codes. Omnicaid will
crosswalk the old code to the new code.
•Lens tempering will no longer be a
separate procedure code (0243Y or
YE243.) The cost of lens tempering will
be included in the reimbursement for
lenses.
 Old        Description                 New Code(s)
Codes*
V0130 Frames, Regular,               V2020
       Purchase
V0140 Dispensing fee,                92340, 92341,
       glasses                       92352, 92353

V0150     Lens insertion fee,        92370, 92371
          repair



* pre-Omnicaid code and current Omnicaid code
 Old         Description                New Code(s)
Codes*
V0300 Contact lens, single           V2500,V2501,
       vision, soft                  V2503,V2520,
                                     V2521,V2522
V0310     Contact lens, hard         V2510, V2511,
                                     V2512, V2530,
                                     V2531
V0799     Dispensing fee, not        92340, 92341,
          otherwise specified        92352, 92353

* pre-Omnicaid code and current Omnicaid code
  Old           Description              New
Codes*                                  Code(s)
0230Y, Lenses, sphere only, 0.25-4.00, V2100
YE230 1 pair
0231Y,    Lenses, sphere only, 4.25 -           V2101
YE231     6.00, 1 pair
0232Y,    Lenses, sphere only, 6.25 -           V2102
YE232     8.00, 1 pair
0233Y, Lenses, spherocylinder up to             V2103,
YE233 4.00, 4.25-6.00, 1 pair                   V2104

* pre-Omnicaid code and current Omnicaid code
  Old              Description           New
Codes*                                 Code(s)
0234Y,   Lenses, spherocylinder up to V2105
YE234    4.00, 4.25-6.00, 1 pair
0235Y, Lenses, spherocylinder, up           V2106
YE235  to 4.00, 6.25-8.00, 1
       pair
0236Y, Bifocal lenses, sphere only,         V2200
YE236 0.25-4.00, 2 pair

* pre-Omnicaid code and current Omnicaid code
  Old           Description                  New
Codes*                                      Code(s)
0237Y, Bifocal lenses, sphere only,        V2201
YE237 4.25-6.00, 1 pair
0238Y, Bifocal lenses,                     V2203,
YE238 spherocylinder up to 4.00,           V2204
       0.25-4.00, 1 pair
0239Y, Bifocal lenses,                     V2205
YE239 spherocylinder up to 4.00,
       4.25-6.00, 1 pair
* pre-Omnicaid code and current Omnicaid code
  Old    Description                 New Code(s)
Codes*
0243Y, Lens Tempering          No new code!
YE243                          Reimbursement is
                               included in payment
                               for lenses.
0248Y, Prism                   V2715, V2718
YE248
0292Y, Contact lens, soft V2513, V2523, V2599
YE292 extended wear,
       disposable
* pre-Omnicaid code and current Omnicaid code
  Old     Description               New Code(s)
Codes*
0249Y, Vision, unlisted       V2107-V2199, V2202,
YE249 services or             V2206 - V2299, V2410,
       appliances             V2430, V2740 -V2744
                              V2799




* pre-Omnicaid code and current Omnicaid code

								
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