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CPT® 92012, Under Established Patient General Ophthalmological Services and Procedures

The Current Procedural Terminology (CPT®) code 92012 as maintained by American Medical Association, is a medical procedural code under the range - Established Patient General Ophthalmological Services and Procedures.

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Summary

For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group practice (or any physician of the same specialty who is billing under the same group number), has seen the patient for a face–to–face service within the past 36 months.

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Have a question about CPT Code 92012 ? Start a discussion here
92004 vs 92002
BCBS denying 92002, 92012, 92014 etc despite having medical diagnoses, seems like they prefer 99 codes. Does anyone have any advice?... [ 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 ]
92004/92014 vs 99204/99214
That clears that up. Meritain is just trying to protect their bottom line by disallowing 9201x codes for medical eye care. In Virginia, for Medicare, the 92012 pays $14 more than the 99213. 92014 pays... [ 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 ]
medically necessary fit
[QUOTE="Cheezum51, post: 476322, member: 329674"] Most offices do submit claims for those fees before the fitting process is completed. I'm assuming that the up front fees billed for this service are ... [ Read More ]
medically necessary fit
Most offices do submit claims for those fees before the fitting process is completed. I'm assuming that the up front fees billed for this service are substantial enough to cover the post dispensing pr... [ Read More ]
MNCL FITS
Most offices I've spoken with charge a 92012 office visit for each post dispensing visit, assuming those services aren't covered by an insurance or vision plan. Tom Cheezum, OD, CPC, COPC... [ Read More ]
9201X and 9921X
Could we bill out an eye exam and E/M. There are 2 different dx codes, plus adding a modifier 25 on 92012? Is it possible? [/QUOTE] Sorry, I missed the 25 mod part...if a procedure was performed and ... [ Read More ]
9201X and 9921X
Please advise, patient comes in early in the day with an eye exam 92012 using a glaucoma dx code. Now, the unfortunate luck of the patient, he had to return because whatever the patient did between th... [ Read More ]
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