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Ophthalmology and Optometry Coding Alert

You Be the Coder:

Refraction Services

Published on Thu Aug 22, 2013

Question: For refraction, should I report a 992xx or 92xxx exam code?
Maine Subscriber Answer: By definition, CPT® codes 992xx (Office or other outpatient visit ...) and 920xx (Ophthalmological services: medical examination and evaluation ...) do not include refraction. Some practices charge for refraction using 92015 (Determination of refractive state); however, most insurance companies will deny this code [...]
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