Billing and Coding: Reporting a Non-Covered Test Performed in Preparation for a Non-Covered Procedure

Diagnostic tests performed solely to prepare for non-covered services are typically non-covered and must be reported as non-covered on the claim. Example: computerized corneal topography (CPT 92025) performed to plan implantation of a non-covered presbyopia/astigmatism-correcting intraocular lens should be billed with CPT 92025 and modifier -GY per Medicare billing guidance.

"When a diagnostic test is performed solely to prepare for a non-covered service, report the diagnostic test as non-covered using the appropriate code with a -GY modifier (example: CPT 92025 + -GY f..."

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