Coding Guide & Forms

Medicare Coding & Documentations Guidelines Booklet

A great quick reference for your office. Keep one in every exam room and most diagnosis codes and procedure codes will be at your finger tips. It also define most CPT procedure codes and explains how to determine which 99xxx code for office visits to use for each different patient scenario. Defines many of the commonly used modifiers and indicates which procedures Medicare will allow for each diagnosis code.

Answers to the following questions and more will be found in the Medicare Coding & Documentations Guidelines Booklet (1 is included in the Medicare Coding Kit):

  • Are fundus photos allowed by Medicare for a glaucoma suspect(365.01)?
  • What is the difference between the 3 levels of visual fields?
  • When do I use a -25 modifier?
Click on thumbnails below to view larger versions of sample pages from the Medicare Coding and Documentations Guidelines Booklet.

Cost = $29.95 per booklet (plus Shipping & Handling)

Order Using Form Below


Medicare Coding Kits

The Medicare Coding Kit allows you to start billing tomorrow! It includes all the forms needed to accurately submit claims.

1 Kit includes:

  • Medicare Coding & Documentations Guideline Booklet - 1 booklet
    Most diagnosis codes used in optometry. Describes most procedure codes and explains when to use them. Explanation of medical modifiers. (sold separately for $29.95/booklet plus $8.95 S&H/booklet)
  • Examination Form - 100 forms
    Includes clear references to all 14 elements of an eye exam and provides thorough and compliant documentation. (sample)
  • Medical History Questionnaire - 100 forms
    Complete health history questionnaire designed to elicit all of the data HCFA demands. (sample)
  • Billing Statement - 100 forms
    Superbill with many common diagnosis and procedure codes in an organized presentation for patient billing. (sample)
  • Examination: Supplementary Test Form - 100 forms
    Quick and easy way to comply with documentation regulations when performing special tests. (sample)
  • Signature on File Form - 100 forms
    Submit patient claims without patient signing each claim form. (sample)
  • ABN (Advance Beneficiary Notice) - 100 forms
    Documents that certain services will not be covered by Medicare and will be patient's responsibility. (sample)
  • Cataract Comanagement Agreement - 50 forms (sample)
  • Glaucoma Flow Sheet - 50 forms (sample)

Cost = $99.95 per kit (plus Shipping & Handling)

Order Using Form Below


Online Order Form

Instructions: Enter the quantity of each item you would like to purchase in it's corresponding Quantity box. Click the "Add to Cart" button at the bottom of the screen to add the items into your cart. You will have an opportunity to adjust your quantities or return to this form again before you submit your final order.

Quantity Contents Cost Shipping

Medicare Coding & Documentations Guideline Booklet

1 booklet $29.95 $8.95

Medicare Coding Kit

1 kit $99.95 $18.95

Refills

Examination Form

500 forms $50.00 $16.95
1000 forms $80.00 $18.95

Medical History Questionnaire

500 forms $85.00 $16.95
1000 forms $115.00 $18.95

Billing Statement

500 forms $65.00 $16.95
1000 forms $95.00 $18.95

Supplementary Tests

500 forms $75.00 $16.95
1000 forms $100.00 $18.95

Signature on File Form

500 forms $50.00 $16.95
1000 forms $80.00 $18.95

ABN (Advanced Beneficiary Notice)

500 forms $50.00 $16.95
1000 forms $80.00 $18.95

Cataract Comanagement Agreement

250 forms $40.00 $14.95
500 forms $50.00 $16.95

Glaucoma Flow Sheet

250 forms $40.00 $14.95
500 forms $50.00 $16.95

Note: Shipping & handling will be included in the price when submitted to the shopping cart. Shipping and handling fees are for the continental United States. For addresses outside of the continental United States an additional $14.95 per item will be added to your total before processing.