Ophthalmic Coding Specialist Practice Test

When removing foreign bodies, how is the payment structured?

1. Per patient

2. Per procedure

3. Per eye

4. Per session

The correct answer is: Per eye

The structure of payment for removing foreign bodies is typically done "per eye." This means that when a procedure involves the removal of a foreign body from one eye, the payment is billed specifically for that eye. If there is a need to remove foreign bodies from both eyes, each eye would generally receive separate billing. This method of payment acknowledges the distinct nature of procedures performed on each eye, recognizing that each may involve a separate assessment, potential complications, and individual treatment considerations. It allows for a more precise allocation of resources and better reflects the complexity and potential variability of care provided to each eye. The other options do not correctly capture the standard billing practice in ophthalmology for this scenario. For instance, billing "per procedure" might suggest a flat fee regardless of whether one or both eyes are treated, which does not align with the typical billing practices. Charging "per patient" could also overlook the fact that multiple different procedures can occur for different eyes, and a "per session" approach does not account for the variability based on which eye is treated or if both are treated.