CellChek C. High-grade model providing wide-field visualization of the cornea; including from limbus to limbus, endothelium to epithelium. •, High-resolution. Dystrophy, keratoconus, other corneal dystrophies and trauma. Konan’s specular microscopes are the global gold standard for precision assessment of the most. The CellChek XL™ delivers cellular level imaging of the corneal endothelium with the industry’s most comprehensive tools for cellular morphology and trending.
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Nicroscope the patient be found to have a diagnosed condition, we charge a medical evaluation and management fee and bill the patient’s medical insurance using CPT Special anterior segment photography with interpretation and report; with specular endothelial microscopy spedular cell count.
One of the advantages of the screening is that if problems are detected during the test, doctors are alerted to more closely question these patients and to look for associated signs in the tissues.
She was so personable and full of knowledge! Conservative estimate of return on investment for specular microscopy assuming that a practice micrscope cataract surgeries per year. Added Value – Reimbursement and Coding For reimbursement by Medicare, medical necessity must be demonstrated. Using non-contact optical pachymetry, the CellChek provides corneal thickness measurements at all five data sample sites.
CellChek XL™ Specular Microscope from Konan Medical USA Inc.
Use the “Comment” link above to leave your thoughts, and the author will respond. She is so sweet and takes the time to listen to you. Konan provides on-site training, advanced topics web-enabled training and the industry’s best clinical support.
Without micrpscope microscopy, you could conceivably cause harm to this patient, leading to a cascade of issues including the eventual need for a corneal transplant.
KONAN MEDICAL, INC. Specular Microscope
In today’s high tech environment, we have now been provided with the ability to quantitatively evaluate the endothelium. Diagnosing conditions in complex and difficult cases is happily becoming more commonplace with instruments such as these. This test is also needed for patients contemplating implantation of phakic knan lenses or refractive surgery.
Patient reports symptoms such as blurry vision, especially in the morning; fluctuating vision; halos around lights; mocroscope foreign body sensation; contact lens intolerance Biomicroscopy findings such as guttata; corneal irregularity; polymegethism; pleomorphism abnormal variation in the shape of the normally hexagonal cells ; microscole cell density; increased corneal thickness; loss of transparency Specullar discovered during the CellScreen test In our office, CellScreen tests are billed to the patient for a nominal fee.
Specular microscopy enables you to accurately quantify the endothelial function, identifies patients who are potentially problematic pre-operatively, and facilitates sspecular appropriate treatment of that case. The same testing criterion for endothelial cell count is being implemented for refractive surgery as well.
Documentation of specular microscopy should include the following elements: This is particularly valuable in cases such as keratoconuscorneal transplantations, or corneal dystrophies. This method is generally reserved for cases where substantial numbers of endothelial cells have been lost The software analysis package provides the: These folks are awesome.
A secondary consideration is that specular OphthalmologyWeb wants to hear from you.
Konan Specular Microscope – Sarasota FL | Gulfcoast Eye Center
A secondary consideration is that specular microscopy has clear value from a reimbursement perspective. The world of ophthalmology is going completely automated. Showing medical necessity can be achieved by the following: The CellChek includes strong trends analysis to make robust microscoep of minimum numbers of observable cells with advanced disease state corneas.
Learn more about writing for us. However, even with these advancements, corneal swelling associated with cataract surgery still occurs. It provides five focus points for image capture at the center and four peripheral sites, allowing a more comprehensive look at the cornea.
Since the screening is entirely automated, the user cannot choose which cells to count, slightly increasing the variability of the output. Plus, get special offers and more delivered to your inbox. In other words, to bill specular microscopy at the same time that you are performing a pre-surgical eye examination for cataract surgery, the medical record must document at least one of the coverage criteria discussed and the procedure must be reported with a diagnosis code other than a simple cataract.
If the number of endothelial cells decreases too significantly, the endothelium also loses its ability to act as a barrier to fluid. Clinical Case Report The following case illustrates how specular microscopy makes a difference and can influence clinical decision-making. The central corneal thickness of this aphakic eye was microns. For these patients in particular, physicians need to understand the cornea from a morphological viewpoint.
They are the total package!
In instances in which Medicare may not cover the test, the patient should be asked to sign an Advance Beneficiary Sspecular prior to testing.
The aqueous layer of the tear film is the thickest layer. American Academy of Ophthalmology. The best eye doctor ever! It automatically records the location from which the data samples spwcular acquired. In regards to repeat or follow-up testing, specular microscopy is reimbursable when medically indicated and consistent with locally accepted standards of practice, but the reason for testing must be clearly documented.
Using the Konan CellChek XL In a basic specular microscopy examination, there are three ways of interpreting the images: This instrument offers optical pachymetry readings in addition to providing highly magnified images that are clear and reproducible. If any issues are discovered in the case history, biomicroscopy examination, or during the CellScreen examination, a complete CellChek examination can be performed and billed to the insurance company.
Automated Manual count – a dot is manually placed in each cell or among a group of cells to initiate a count Users can place a box around groups of cells and place a dot in each box.
Many clinicians also use specular microscopy for clinical assessment of contact lens related corneal distress. Standard biomicroscopy does not provide the critical detail of the earliest signs of endothelial disease.
Note that the corneal thickness of the right eye microns is thicker than that of the left eye due to corneal swelling. The results for both eyes are displayed simultaneously and the screening images are not saved.
I’m a new patient and they have really worked with me on appointment times and Friday, March 20, Practicing without the Oknan is like flying a plane with instrumentation only.