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CPT® 92004, Under New Patient General Ophthalmological Services and Procedures

The Current Procedural Terminology (CPT®) code 92004 as maintained by American Medical Association, is a medical procedural code under the range - New Patient General Ophthalmological Services and Procedures.

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Summary

The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.

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MDM for glasses and/or contact lenses?
Hi Cierras Check in the section of CPT book in middle of manual about page 661 . Office visits for eyes start with CPT 92002 till 92014. Add modifier 25 if eye test given. But use CPT 92015 if give p... [ Read More ]
2ND POST!! Comprehensive exams and Treatment Question. Please help!!
Hi , I am new to eye codes but so far, I didn't hear that we must have medication management for 92004, 92014. As long, I have enough elements for Intermediate exam and MD discusses pt's eye condition... [ Read More ]
2ND POST!! Comprehensive exams and Treatment Question. Please help!!
Hello all! If we bill 92004 or 92014, must we have prescription of medication? Also, does it have to be prescription medication or can we prescribe OTC meds and such and consider that as prescription ... [ Read More ]
Comprehensive Eye Codes Question comprehensive exams optometry prescription management
Hello all! If we bill 92004 or 92014, must we have prescription of medication? Also, does it have to be prescription medication or can we prescribe OTC meds and such and consider that as prescription ... [ Read More ]
Cataract coding guidelines
Are you billing for cataract surgery (66984 or 66982), it is possible that your physicians are still comfortable using the individual codes. Either way both codes being billable you should not have a ... [ Read More ]
Billing the DIabetic Eye Exam at an RHC
CPT 92250 is for fundus photography test. Look at CPT 92004 & 92014 for comprehensive eye exams.... [ Read More ]
New vs. Est
In researching this question, I also have learnt something new. Per: [URL='https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00097341'][COLOR=rgb(226, 80, 65)]Modifier ... [ Read More ]
92004/92014 vs 99204/99214
[QUOTE="Cheezum51, post: 415977, member: 329674"] technically, the 92XXX codes should only be used when you are initiating a diagnostic or treatment program. For example, if a patient was seen for a c... [ Read More ]
special Ophthalmology codes and modifier 25
[QUOTE="Cheezum51, post: 467460, member: 329674"] First, the 25 modifier should be used with the 99 E/M codes. As to whether they're being used appropriately, kind of depends on what's written in the ... [ Read More ]
special Ophthalmology codes and modifier 25 -25 e/m codes modifier 25 ophthalmology codes
I'm new to Ophthalmology and the company I'm working for doesn't have any credentialed coders on staff - I'm the first one. I'm questioning the use of modifier 25 on the ophthalmology codes 92002-920... [ Read More ]
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