Currently we do not deal with insurance companies directly, however, we are finding that insurance companies are increasingly willing to reimburse patients for certain medical equipment.
We recommend that you call your insurance company and inquire!
When you receive your rental or purchase, included in the box will everything you need to submit a claim to your insurance company: an insurance cover letter, a detailed receipt, a copy of your tonometer prescription from your healthcare provider, a blank Health Insurance Claim Form (HCFA), and a sample HCFA form.
We do accept HSA and FSA cards if you have a Flexible Spending Account or Health Savings Account through your employer.
We are working on meeting with private insurance and governmental agencies to explore the option of getting the device covered.
However, most HSA or FSA accounts allow for reimbursements to the patient for renting or purchasing DME (Durable Medical Equipment). The HOME is considered an RPM (Remote Physiological Monitoring device). Below are the codes that are used in conjunction with HOME monitoring as well as billable RPM codes that have been used by doctors to bill insurance. The following info you can use to try to get reimbursement from your insurance. Please let us know if there is anything else we can do for you! INFO:
- MyEYES LLCDME
- PRIMARY DME CODING: HCPCS#A9999
- Modifier# NUSECONDARY LONG TERM
- REMOTE MONITORING CODING: RPM CPT#’s 99453, 99454, 99457, 92100, 99212-99215
Below are some of the current codes for re-mote patient monitoring.
The first three codes(99453, 99454, and 99457) are specific to the iCare Home tonometer. Note that payment for CPT codes can vary depending on where your practice is located.
(CPT code 99453: $18.77)
This is a one-time claim and reimbursement for instructing the patient on performing home monitoring and transmitting data with the iCare Home tonometer device.
This is a monthly claim and reimbursement for the equipment and software used to perform the remote patient monitoring test with the iCare Home tonometer. Monitoring.
This is a monthly claim and reimbursement for communicating with the patient and managing and/or coordinating for a cumulative total of 20 minutes/month about the iCare Home tonometer. In-person or telehealth visit.
When an office visit or telehealth visit is needed, submit extra visit code(s) as usual.
Note: Eye visit codes 92012-92014 were temporarily added by CMS for telehealth use for the public health emergency(PHE).
Evaluation and Management (E/M).
(99213:<$93 or 99214: <$132)
This is reimbursement for a follow-up visit, whether virtual or in person, meeting 2021 E/M documentation guidelines. Note: E/M fees vary by region. The fees listed here are for Dallas, Texas.
Click HERE to see a complete reimbursement report for the HOME.