Mich. Admin. Code R. 418.10208 - Vision services
Rule 208.
(1) A
medical diagnostic eye evaluation by a practitioner is an integral part of all
vision services.
(2) Intermediate
and comprehensive ophthalmological services include medical diagnostic eye
evaluation and services, such as slit lamp examination, keratometry,
ophthalmoscopy, retinoscopy, tonometry, or motor evaluation. These procedures
shall not be billed in conjunction with procedure codes 92002, 92004, 92012,
and 92014.
(3) Only an
ophthalmologist or a doctor of optometry shall use procedure codes 92002,
92004, 92012, and 92014.
(4) An
employer is not required to reimburse or cause to be reimbursed charges for an
optometric service unless that service is included in the definition of
practice of optometry under section 17401 of the public health code, 1978 PA
368, MCL 333.17401, as of May 20, 1992.
(5) Suppliers of vision and prosthetic
optical procedures shall use the appropriate procedure code V0000-V2999 listed
in the HCPCS Level II codebook, as adopted by reference in 418.10107, to
describe services provided.
(6)
Payment shall be made as follows for the following vision CPT codes:
(a) $50.00 for V2744, V2750, and
V2760.
(b) $25.00 for
V2715.
(c) $160.00 for
V2020.
Notes
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