AUG 04, 2023
Satisfying Delegated Testing Order Requirements
If a new patient is being seen, can I have my scribe note in the chart that, “Dr X orders an OCT macula due to hypertension,” and will that satisfy the order criteria?
Answer:
Screening tests or standing orders are not payable by Medicare Part B or any other payer, even if pathology is found. The diagnosis or indication must be established by the physician.
Testing services require a physician order indicating the specific test(s), site (right, left or both eyes) and medical necessity for all delegated testing services.
If you missed the 2023 Fundamentals of Ophthalmic Coding Course, presented June 27 in collaboration with the Academy’s YO Committee, you can purchase the recording through Aug. 25.