This bulletin applies to NC Medicaid Direct and NC Medicaid Managed Care.
Effective Nov. 1, 2024, NC Medicaid added a rate to separately reimburse CPT code 99177, Screening of Eye with Special Instrument Onsite Analysis. The NC Health Check Billing Guide is being updated to include this information.
Key Information
- CPT code 99177 may be used for instrument-based vision screening to detect structural abnormalities.
- Beneficiaries who are not developmentally able to follow the instructions for direct visual acuity testing may benefit from instrument-based screening to identify a structural abnormality.
- Providers should resubmit claims for reimbursement for dates of service Nov. 1, 2024, to present.
Contact
- NCTracks Call Center: 1-800-688-6696
- NC Medicaid Managed Care Health Plans