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

When a diagnostic test is necessary for the performance of a non-covered service, that test typically may not be covered. For instance, when planning a cataract surgery using a non-covered, presbyopia and astigmatism correcting intraocular lens, it is often necessary to first perform a computerized corneal typography. Noridian wishes to remind providers to report this appropriately as a non-covered test by submitting the code 92025 with a -GY modifier. Effective Immediately Reference: Internet Only Manual (IOM) Medicare National Coverage Determinations (NCD) Manual, Publication 100-03, Chapter 1, Part 1, Section 10.1; IOM Medicare Claims Processing Manual, Publication 100-04, Chapter 32, Section 120.