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  • Note: Coding regulations and edits can change several times a year. All Academy coding advice is based on most current information available at the time of publication. When in doubt, visit aao.org/coding for the most recent updates. Information provided by our coding experts is copyrighted by the American Academy of Ophthalmology and intended for individual practice use only.

  • Testing Services Ask the Expert
    APR 24, 2018

    Supervision Requirements for Retinal OCT


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    Question: My Medicare fee schedule states that supervision rules do not apply to retinal OCT. I thought this test fell under general supervision?

    Answer: The technical component, which ancillary staff often perform, has the indicator of 1 meaning general supervision. You may have needed to insert modifier -TC when looking at the fee schedule. Remember that commercial payers may not follow Medicare supervision rules.

    Learn more about testing services in the 1-Hour Coding Course: Testing Services Documentation Requirements.

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