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Payment for a 0 day global procedure includes the payment for services provided in relation to that procedure both before and after the procedure. This includes the initial evaluation, the decision for surgery, the greeting, the routine set up and the explanation of the results of the procedure. The global payment for a procedure does not include history, physical, medical decision-making even if it leads to the decision to provide the procedure.

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EyeCoding Today Features

New Codes for Retinal Imaging, Effective 1/1/2011

  
2011 Current Procedural Terminology (CPT©, American Medical Association) includes one very significant change effecting eye care. 92135, "Scanning computerized ophthalmic diagnostic imaging, posterior segment, (e.g. scanning laser) with interpretation and report, unilateral," has been eliminated. In turn, CPT has created three new codes for imaging. The following codes will be in effect January 1, 2011:  More

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The Centers for Medicare and Medicaid Services (CMS) has released the updated 2011 Conversion Factor and public use files containing updated RVU’s. The new CF for CY 2011 is $33.9764. Payment rates for particular services in each locality will reflect various changes from the final rule in relative values, GPCIS, and payment policies, so physicians should expect that their 2011 rates will be changed from 2010.

 

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