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Optometric Management

Article

BUSINESS: technology

Visual Testing Devices

Optometric Management February 1, 2015
BUSINESS

  technology

Visual Testing Devices

Assessing sensorimotor and proprioception can reveal refractive challenges

KEVIN GEE, O.D.

Have you ever had that patient you refract to better than 20/20 O.U., and he is not pleased with his vision after you correct it? The reason could be a small misalignment in eye position or a problem with the macula. Sensorimotor and proprioception testing may be the key to revealing such snares and difficulties.

Luckily, we have instrumentation that allows us to obtain this valuable ocular health information to ensure our patients are happy with their contact lenses, spectacles or, if they choose, refractive surgery.

Automated technology

An array of automated devices are currently available that measure convergence insufficiency, suppression and color vision (for macular concerns) for the everyday clinician, whereas these were only used at one time by clinicians in specialty settings.

Indication / Codes*

368.13     Visual discomfort

368.2      Diplopia

368.xx     Ambylopia

V58.62     Long-term use of high-risk meds (i.e., hydroxychloroquine sulfate [Plaquenil, sanofi-aventis])

362.0x     Diabetic retinopathy

362.1x     Background retinopathy

362.2x     Proliferative retinopathy

362.5x     AMD

368.8x     Other retinal disorders

*All tests performed and billed in-office should be based on medical necessity. Check with your Local Carrier Determination (LCD) for Medicare patients and each individual commercial insurer for their approved lists of ICD-9 codes that are reimbursable where indicated.

Procedural / Codes*

CPT

92060     Sensorimotor examination

92283     Color vision examination

Orienting Statement

“This procedure allows the doctor to determine whether the vision difficulties you are experiencing are related to the health and structure of your eyes. Sometimes, misalignment or decreased sensitivity in the central portion of your eye may also contribute to unsatisfactory vision through glasses and contact lenses.”

Players

    • Chart2020 (Konan Medical)

    • ColorDx (Konan Medical)

    • Opt-align (Stereo Optical)

    • ProVideo (Innova Systems)

    • Smart System (M&S Technologies)

While your LCD may require you to perform some of these tests to qualify for a certain level of coding an examination, in some cases, you may also qualify for additional reimbursement depending on the indication. OM

DR. GEE PRACTICES IN HOUSTON, TEXAS, AND IS AN ASSISTANT CLINICAL PROFESSOR AT THE UNIVERSITY OF HOUSTON COLLEGE OF OPTOMETRY. IN ADDITION, HE IS A FELLOW OF THE AMERICAN ACADEMY OF OPTOMETRY, AN ABO DIPLOMATE AND AN OCRT MEMBER. ALSO, HE’S ON ALLERGAN’S ADVISORY BOARD AND IS A CONSULTANT FOR SOLUTION REACH. E-MAIL HIM AT DRGEE@GEEEYECARE.COM, OR SEND COMMENTS TO OPTOMETRICMANAGEMENT@GMAIL.COM.

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