Billing Information
Important Insurance Information
HCPCS codes are required to submit healthcare claims for Medicare and other health insurance providers. For Ocutech Low Vision products the appropriate HCPCS code is:
V2615: Telescopic and other compound lens systems, including distance telescopic, near vision telescopes and compound lens systems.
Insurance Codes for Low Vision Aids and Services
E&M codes used for low vision professional services include:
- Usually based on time, since >50% is spent counseling* the patient and in the coordination* of care.
- Documentation required: see list of requirements below
E&M codes for new patients:
- 99203 (30 mins)
- 99204 (45 mins)
- 99205 (60 mins
E&M codes for existing patients:
- 99213 (30 mins)
- 99214 (45 mins)
- 99215 (60 mins
Documentation Required:
* Counseling:
- Eye condition, influence on functional vision, prognosis
- Visual and/or non-visual strategies to support completion of daily tasks
- Skills for use of low vision devices
- Adjustment to visual disability
*Coordination of Care:
- Local, state. and national services for individuals with visual impairments
- Referrals to appropriate specialties: OT, PT, ST, Social Work, Mental Health, etc.
- Ordering and provision of low vision devices and other support software, phone and computer applications
Additional Services:
- 99354: For prolonged service
- 92081, 92082, 92083: When visual fields or micro-perimetry are performed
- 92283: When D-15 color vision testing is justified
- 92060: When a person has diplopia or other problem that requires measuring the ocular deviation in various fields of gaze
- 92015: Refraction
- 92015-22: Extended (complex) refraction