Billing and Coding: Visual Electrophysiology Testing

Billing and coding for visual electrophysiology testing are determined by the related Local Coverage Determination (LCD) — the LCD's coverage indications, limitations, and medical necessity rules govern reimbursement. Documentation must fully support medical necessity (including relevant history, physical exam, and diagnostic test results), be legible, retained in the medical record, and be available to the MAC upon request.

"Billing and coding for visual electrophysiology testing is governed by the coverage indications, limitations, and medical necessity criteria in the related Local Coverage Determination (LCD)."

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