Did the guidelines and recommendations from the AAP, AAO, AAPOS & AACO discuss payment or the CPT code that should be used for photoscreening?
Yes. The policy statement had this to say about Current Procedural Technology Code 99174 for instrument-based vision screening, also known as CPT 99174. “Additionally, visual screening is often inappropriately bundled into a global fee for the health maintenance visit, despite the fact that this is a separately identifiable service with real costs and established relative value units (RVUs). The adoption of any such technology will be highly dependent on the payment decisions of third party payers. Primary care physicians will likely be slow to adopt these new technologies, despite their merit, if they are expected to absorb the cost without adequate payment for their up-front costs and their time. A level-1
Current Procedural Terminology code, 99174 with RVU 0.69, has been assigned to photoscreening. The adequacy of such an RVU depends on the cost of the screening device.”