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NGS-ACE Edits for Ophthalmology

We continue working on enhancing NGS-ACE for providers in Jurisdiction 6 (Illinois, Minnesota, and Wisconsin) by adding additional edits and resources. The following NGS-ACE Smart Edits are effective immediately.

  • Smart Edits Number: 926BN1 – procedure code 92132 needs a required diagnosis code and a diagnosis pointer.
  • Smart Edits Number: 926BN2 – procedure code 92133 for date of service on or after 10/15/19 and less than or equal to 9/30/22 needs a required diagnosis code and diagnosis pointer.
  • Smart Edits Number: 926BN3 – procedure code 92133 for date of service on or after 10/1/22 needs a required diagnosis code and diagnosis pointer.
  • Smart Edits Number: 926BN4 – procedure code 92134 needs a required diagnosis code and diagnosis pointer.

View LCD L34380 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) and Billing and Coding Article A56537 Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) for additional guidance.

Visit About NGS-ACE to learn more about the NGS Advance Communication Engine System Edit Module.

Posted 4/4/2023