7External ocular photography Interpretation and reportYesDoctor OrderSupervision LevelGeneral
8Coding for Dry Eyes Lab 83861 Microfluidic analysis $23.58 (WA) TearLab Osmolarity SystemWaived testMust have certificate of waiver
9Coding for Dry Eyes Lab Certificate of Waiver $150 for 2 yr (WA) Medicare co-payments & deductibles do not apply
10Coding for Dry EyesLabTouch Scientific Lactoferrin MicroAssay System by Corneal ScienceModerate complexity testLicense $450 per 2 year + training
11Coding for Dry Eyes Punctum Plugs Closure of the lacrimal punctum; by plug, each-Bill same for all types (Herrick, SmartPlug),all materials (collagen, silicone, etc).-Supply of plug bundled by Medicare;non-Medicare may pay.
12Punctum PlugsIndications, Diagnosis Codes, Frequency Medicare LCD Noridian: No CGS: No WPS: No Novitas: Yes Palmetto: No
13Punctum Plugs Indications, Diagnosis Codes, Frequency Non-Medicare Every plan has own rulesClinical judgmentMay follow Medicare
14Punctum Plugs Surgical Report Not a coding requirement, for Medical-Legal.Pre-printed form with check boxes.Sample upon request.
15Punctum Plugs Unilateral / Bilateral Medicare & Non-Medicare: Payment is per puncta, not per eye.