MAR 22, 2018
Reimbursement for Category III code 0464T
Question: Can you refer us to the allowable for Category III code 0464T VEP for glaucoma?
Answer: As a Category III code, the allowable, if any, depends on the carrier. Category III codes have no assigned relative value units. Likely the patient will be responsible for payment. As far as setting a price, it may be comparable to the CPT code 95930 Visual evoked potential.
Learn more about testing services in Ophthalmic Coding: Learn to Code Essentials.