HCPCS code G0118 — Glaucoma scrn hgh risk direc.
Status: Active.
Effective Jan 1, 2002.
Source: CMS HCPCS Level II.
G0118
ActiveGlaucoma scrn hgh risk direc
Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2002
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5732
MUE — Medically Unlikely Edits
Maximum units of G0118 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 |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
G0118 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0117 | Modifier cannot bypass edit |
| G0337 | Modifier cannot bypass edit |
| G0463 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)