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Ophthalmology and Optometry Coding Alert

Reader Question:

Weigh Pros and Cons of VF Codes

Published on Sat Nov 21, 2009

Question: We have a patient who is "glaucoma suspect." He is returning to our office for a visual field examination. When I bill this, do I have to bill it individually per eye? Can I bill for another visit to our office, including the actual test, verifying the results, and discussing them with the patient? Texas Subscriber Answer: Your confusion is understandable considering you have three possible visual field codes to choose from: • 92081 -- Visual field examination, unilateral or bilateral, with interpretation and report; limited  examination (e.g., tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent) • 92082 -- ... intermediate examination (e.g., at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshold screening program, Humphrey suprathreshold automatic diagnostic test, Octopus program 33) • 92083 -- ... extended examination (e.g., Goldmann visual fields with at least 3 isopters plotted and static [...]
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