HCPCS code G0117 — Glaucoma scrn hgh risk direc. Status: Active. Effective Oct 1, 2003. Source: CMS HCPCS Level II.

G0117

Active

Glaucoma scrn hgh risk direc

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Category: Procedures

Section: G-codes: Procedures / Professional Services

Effective: Oct 1, 2003

Code type: alphanumeric

OPPS Status: S — Significant procedure — not subject to multiple procedure reduction

OPPS APC: 5731

Maximum units of G0117 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type	Max Units / Day	Adjudication	Rationale
Outpatient Hospital	1	2 — Date of Service Edit: Policy	Code Descriptor / CPT Instruction
Practitioner Services	1	2 — Date of Service Edit: Policy	Code Descriptor / CPT Instruction

Source: CMS Medicare NCCI Medically Unlikely Edits

The following codes cannot be billed together with G0117 without appropriate documentation.

Column 2 Code	Description	Modifier
G0118	Glaucoma scrn hgh risk direc	Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

G0117 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code	Description	Modifier
G0337	Hospice evaluation preelecti	Modifier cannot bypass edit
G0463	Hospital outpt clinic visit	Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

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Data sourced from CMS. Updated quarterly.

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