Maxaa isbedelay?
Bishii Luulyo 1, 2021, Hay'adda Daryeelka Caafimaadka (HCA) waxay cusboonaysiisay nidaamka biilasha ProviderOne si ay toos ugu sheegato khidmadaha ku -habboonaanta qalabka aragga iyo qaar ka mid ah khidmadaha dhakhtarrada ee ka diiwaangashan urur daryeel la maamulay (MCO) MCO -ga macmiilka si loo bixiyo. Ujrooyinkaan waxaa hore loogu daboolay adeeg-lacag-u-adeeg (FFS).
Dib -u -noqoshada sheegashooyinka leh taariikhaha adeegga bisha Luulyo 1, 2021, dhammaan bixiyeyaasha caafimaadku waa inay si toos ah ugu soo dallacaan MCO -yada koodhkan.
Xeerarka CPT® ee saameeyay isbeddelkan:
- 92071 Lens contact oo ku habboon TX
- 92072 Lens taabashada habboon ee maareynta
- 92310 Lens taabashada oo habboon
- 92311 Lens taabashada oo habboon
- 92312 Lens taabashada oo habboon
- 92313 Lens taabashada oo habboon
- 92340 Muraayado ku habboon monofocal
- 92341 Muraayado ku habboon bifocal
- 92342 Muraayado ku habboon oo dhinacyo badan leh
- 92352 Fit Aphakia spectcl monofocl
- 92353 Fit Aphakia spectcl multifoc
- 92354 Muraayado ku habboon nidaam keliya
- 92355 Muraayado ku habboon muraayadaha isku -dhafan
Maxaan is beddelin?
Xeerarka dhakhtarku qoro ee CPT® iyo hagaajinta koodhadhka CPT® ee hoos ku taxan waa inay sii wadaan in loo soo diro HCA iyada oo loo marayo FFS, ma iyada oo loo marayo MCO macmiilka. HCA waxay dib u soo celin doontaa sheegashooyinka taariikhaha adeegga bisha Luulyo 1, 2021, oo loo diiday xeerarkan CPT®.
- 92314 Daawada muraayadda taabashada
- 92315 Rx cntact lens aphakia 1 isha
- 92316 Rx cntact lens aphakia 2 isha
- 92317 Rx muraayadda xiriirka corneoscleral
- 92370 Dayactir & hagaaji muraayadaha indhaha
- 92371 Dayactir & hagaaji muraayadaha indhaha
HCA waxay ku wargelin doontaa bixiyeyaasha wixii isbeddel mustaqbalka ah iyada oo loo marayo Digniinta Bixiyaha iyo tilmaamaha biilka Adeegyada La Xiriira Dhakhtarka/Adeegyada Xirfadlaha Daryeelka Caafimaadka iyo Qalabka Aragga ee Macaamiisha 20 Sano Jira iyo kuwa ka yar.
Summadaha CPT® iyo sharraxaadda kaliya waa xuquuqda daabacaadda 2020 ee Ururka Caafimaadka Mareykanka.
