Reader Question:
92012 or 92014?
Published on Wed Sep 05, 2012
Question: When is it appropriate to use 92012 as opposed to 92014?Virginia SubscriberAnswer: The main difference between 92012 (Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient) and 92014 (... comprehensive, established patient, one or more visits) is that 92014 requires dilation unless medically contraindicated.A comprehensive exam (92014 for an established patient or 92004 for a new patient) also includes more exam components than an intermediate exam (92012 for an established patient or 92002 for a new patient). For example, an insurer may require that you include nine or more of these elements in a comprehensive exam:Visual acuity (not including refractive error)Gross visual fieldsEyelids and adnexaOcular mobilityPupilsIrisConjunctivaCorneaAnterior chamberLensIntraocular pressureRetina (vitreous, macula, periphery, and vessels)Optic disc.Tip: Some insurers may require that certain elements, such as gross visual field tests and ocular mobility tests, be covered in all comprehensive tests. Examination of the [...]
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