Ophthalmic Coding Specialist Practice Test

According to coding guidelines, what does the abbreviation UNI indicate?

1. Payment is the same for both eyes tested

2. Payment is made at 100 percent per eye if necessary

3. Procedures are considered bilateral regardless of circumstances

4. Assistants at surgery will not be compensated

The correct answer is: Payment is made at 100 percent per eye if necessary

The abbreviation UNI in coding guidelines signifies that payment is made at 100 percent per eye if necessary. This is particularly relevant in ophthalmic procedures where some treatments or surgeries might be performed on one eye only while still eligible for full payment per eye if it is deemed clinically necessary. This ensures that patients receiving appropriate care for conditions affecting both eyes can be properly reimbursed for the services rendered, reflecting the necessity of treatment regardless of whether it is performed unilaterally or bilaterally. Understanding this designation is crucial for ophthalmic coding specialists as it affects the billing and reimbursement process, ensuring that services provided are appropriately categorized and compensated according to the relevant guidelines.