Optometry Coding & Billing Alert

Report EOM Function Test With E/M

Question: The optometrist wants to code for a "detailed evaluation of EOM function." The diagnosis was "convergence insufficiency." Is there a code for this? Can we code it with an eye exam?

Washington Subscriber

Answer: You can report 92060 (Sensorimotor examination with multiple measurements of ocular deviation ... with interpretation and report [separate procedure]) on the same day as an eye exam (92002-92014) or E/M (99201-99215) code. Optometrists perform the test to look for focusing or accommodative problems in extraocular muscle (EOM) function.

Common diagnosis codes for this test are 378.1x (Exotropia) and 378.0x (Esotropia). Convergence insufficiency, accommodative insufficiency, and divergence excess diagnoses would be covered under the exotropia diagnosis. Record the extra testing for 92060 separately, above and beyond the regular documentation.

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